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 03-387B?
A: DSHS Form 03-387B is the Notice of Privacy Practices for Client Medical Information for DSHS HIPAA Covered Programs in Washington.
Q: What is HIPAA?
A: HIPAA stands for Health Insurance Portability and Accountability Act. It is a federal law that protects the privacy and security of medical information.
Q: What are DSHS HIPAA Covered Programs?
A: DSHS HIPAA Covered Programs are programs offered by the Washington State Department of Social and Health Services that are subject to the privacy regulations of HIPAA.
Q: What is the purpose of DSHS Form 03-387B?
A: The purpose of DSHS Form 03-387B is to inform clients about their privacy rights and how their medical information may be used or disclosed by DSHS HIPAA Covered Programs.
Q: Who is this form for?
A: This form is for clients of DSHS HIPAA Covered Programs in Washington who receive services related to their medical information.
Q: What does this form cover?
A: This form covers the privacy practices related to the client's medical information and how DSHS HIPAA Covered Programs may use or disclose that information.
Q: What language is this form available in?
A: This form is available in the Cambodian language for clients who prefer to receive it in that language.
Form Details:
Download a printable version of DSHS Form 03-387B by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.