Form IHS-963 Request for Confidential Communication by Alternative Means or Alternate Location

What Is Form IHS-963?

This is a legal form that was released by the U.S. Department of Health and Human Services - Indian Health Service on April 1, 2009 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form IHS-963?A: Form IHS-963 is a request for confidential communication by alternative means or alternate location.

Q: What is the purpose of Form IHS-963?A: The purpose of Form IHS-963 is to request that confidential communications from the Indian Health Service (IHS) be made through alternative means or at an alternate location.

Q: Who can use Form IHS-963?A: Anyone who receives services from the Indian Health Service (IHS) and wishes to have their communications kept confidential can use Form IHS-963.

Q: What information is required on Form IHS-963?A: Form IHS-963 requires information such as the individual's name, contact information, preferred method of communication, and any specific requests regarding alternate location.

Q: How should I submit Form IHS-963?A: Form IHS-963 should be submitted to the Indian Health Service (IHS) facility where you receive services, either in person or by mail.

Q: Is there a deadline for submitting Form IHS-963?A: There is no specific deadline for submitting Form IHS-963, but it is recommended to submit it as soon as possible to ensure timely and confidential communication.

Q: Can I revoke or change my request made on Form IHS-963?A: Yes, you can revoke or change your request made on Form IHS-963 by submitting a new form or notifying the Indian Health Service (IHS) facility in writing.

Q: Are there any fees associated with Form IHS-963?A: No, there are no fees associated with submitting Form IHS-963.

Q: What should I do if I have questions about Form IHS-963?A: If you have questions about Form IHS-963, you can contact your local Indian Health Service (IHS) facility for assistance.