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 the 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 Washington State Department of Social and Health Services (DSHS).
Q: Who is required to provide DSHS Form 03-387?
A: Health care providers and facilities affiliated with DSHS in Washington are required to provide DSHS Form 03-387 to their clients.
Q: What information does DSHS Form 03-387 cover?
A: DSHS Form 03-387 covers the types of information that may be used or disclosed, the purposes for which it may be used or disclosed, and the individual's rights regarding their medical information.
Q: Is DSHS Form 03-387 available in languages other than English?
A: Yes, DSHS Form 03-387 is available in English and Dari (an Afghan language).
Q: What should I do if I have questions or concerns about DSHS Form 03-387?
A: If you have questions or concerns about DSHS Form 03-387, you should contact the health care provider or facility that gave you the form.
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.