DSHS Form 03-387 Dshs Notice of Privacy Practices for Client Medical Information - Washington (English / Farsi)

DSHS Form 03-387 Dshs Notice of Privacy Practices for Client Medical Information - Washington (English / Farsi)

What Is DSHS Form 03-387?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of DSHS Form 03-387?
A: It is a notice of privacy practices for client medical information in Washington.

Q: Who does DSHS Form 03-387 apply to?
A: It applies to clients of the Washington Department of Social and Health Services (DSHS).

Q: What is the language of DSHS Form 03-387?
A: It is available in both English and Farsi.

Q: What information does the notice cover?
A: The notice covers the use and disclosure of client medical information by DSHS.

Q: Why is this notice important?
A: This notice informs clients of their rights and choices regarding the privacy of their medical information.

Q: Can DSHS use or disclose my medical information without my consent?
A: Generally, DSHS requires your consent to use or disclose your medical information, but there are exceptions permitted by law.

Q: How long does DSHS keep my medical information?
A: DSHS retains client medical information for a minimum of 6 years after the last service provided, as required by law.

Q: What if I have questions or concerns about my privacy rights?
A: You can contact the DSHS Privacy Office for assistance or to file a complaint.

Q: Is DSHS allowed to share my medical information with other healthcare providers?
A: DSHS may share your medical information with other healthcare providers involved in your care, with your consent.

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Form Details:

  • Released on May 1, 2018;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Available in Albanian;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of DSHS Form 03-387 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 03-387 Dshs Notice of Privacy Practices for Client Medical Information - Washington (English / Farsi)

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