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

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

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 DSHS Form 03-387?
A: DSHS Form 03-387 is a Notice of Privacy Practices for Client Medical Information specific to Washington State.

Q: What is the purpose of DSHS Form 03-387?
A: The purpose of DSHS Form 03-387 is to inform clients about how their medical information may be used and disclosed by the Department of Social and Health Services (DSHS) in Washington State.

Q: Who is this form applicable to?
A: This form is applicable to clients of the Department of Social and Health Services (DSHS) in Washington State.

Q: What does the form inform clients about?
A: The form informs clients about their rights regarding the privacy of their medical information, how their information may be used and disclosed, and how they can exercise their rights.

Q: Is this form available in multiple languages?
A: Yes, this form is available in English and Indonesian (Bahasa Indonesia) languages.

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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 / Indonesian (Bahasa Indonesia))

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