This version of the form is not currently in use and is provided for reference only. Download this version of DSHS Form 03-387 for the current year.
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.
Q: What is DSHS Form 03-387?
A: DSHS Form 03-387 is a Notice of Privacy Practices for Client Medical Information in Washington.
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.
Q: What does DSHS Form 03-387 cover?
A: DSHS Form 03-387 covers the use and disclosure of client medical information, including information related to treatment, payment, and healthcare operations.
Q: What are the client's rights regarding their medical information according to DSHS Form 03-387?
A: According to DSHS Form 03-387, clients have the right to request restrictions on the use and disclosure of their medical information, access and amend their records, and obtain an accounting of disclosures.
Q: Is DSHS Form 03-387 available in Bengali?
A: Yes, DSHS Form 03-387 is available in both English and Bengali languages.
Q: What should I do if I have questions or concerns about the privacy of my medical information?
A: If you have questions or concerns about the privacy of your medical information, you can contact the Department of Social and Health Services (DSHS) in Washington for assistance.
Form Details:
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.