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

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

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.

FAQ

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.

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Form Details:

  • Released on September 1, 2021;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

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 (Cambodian)

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