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 Tongan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DSHS Form 03-387A?
A: DSHS Form 03-387A is the Notice of Privacy Practices for Client Medical Information Without Acknowledgement.
Q: Who is DSHS?
A: DSHS stands for the Washington State Department of Social and Health Services.
Q: What is the purpose of DSHS Form 03-387A?
A: The purpose of this form is to inform clients about the privacy practices related to their medical information.
Q: What does the form require?
A: This form does not require acknowledgement from the client.
Q: Is this form specific to a language?
A: Yes, this form is provided in the Tongan language for residents who speak Tongan.
Q: Is this form only applicable in Washington state?
A: Yes, this form is specifically for residents of Washington.
Form Details:
Download a printable version of DSHS Form 03-387A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.