Form HCA65-0004 Client Records Request Form - Washington

Form HCA65-0004 Client Records Request Form - Washington

What Is Form HCA65-0004?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA65-0004?
A: Form HCA65-0004 is the Client Records Request Form.

Q: What is the purpose of this form?
A: The purpose of this form is to request client records.

Q: Who can use this form?
A: This form can be used by individuals who want to request their own client records.

Q: Is there a fee for requesting client records?
A: Yes, there may be a fee involved, depending on the number of pages requested.

Q: How long does it take to process the request?
A: The processing time can vary, but it is typically within 30 days.

Q: Can I request client records for someone else?
A: No, this form is specifically for requesting your own client records.

Q: Are there any specific instructions for filling out this form?
A: Yes, please read and follow the instructions provided on the form.

Q: Is there a deadline for submitting this form?
A: There is no specific deadline, but it is recommended to submit the form as soon as possible.

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Form Details:

  • Released on December 1, 2018;
  • The latest edition provided by the Washington State Health Care Authority;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HCA65-0004 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.

Download Form HCA65-0004 Client Records Request Form - Washington

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