This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.
The document is provided in Cambodian. 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: Who is the form for?
A: The form is for clients in Washington who receive medical services from DSHS (Department of Social and Health Services).
Q: What is the purpose of the form?
A: The form explains how DSHS protects the privacy of client medical information and how that information may be used or disclosed.
Q: Is the form available in Cambodian?
A: Yes, the form is available in Cambodian for clients who prefer to read it in that language.
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.