This is a legal form that was released by the Washington DC Department of Behavioral Health - a government authority operating within Washington, D.C.. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DBH-HIPAA Form 3?
A: DBH-HIPAA Form 3 is an authorization form used in Washington, D.C. to give permission for the use or disclosure of protected health information.
Q: What is protected health information?
A: Protected health information refers to any information about a person's health or healthcare that is protected under the Health Insurance Portability and Accountability Act (HIPAA).
Q: Who uses DBH-HIPAA Form 3?
A: DBH-HIPAA Form 3 is used by individuals in Washington, D.C. who want to authorize the use or disclosure of their protected health information.
Q: What is the purpose of DBH-HIPAA Form 3?
A: The purpose of DBH-HIPAA Form 3 is to allow individuals to give consent for the use or disclosure of their protected health information by the District of Columbia Department of Behavioral Health (DBH).
Form Details:
Download a printable version of DBH-HIPAA Form 3 by clicking the link below or browse more documents and templates provided by the Washington DC Department of Behavioral Health.