This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. The form may be used strictly within City and County of San Francisco. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DHCS6244A form?
A: The DHCS6244A form is a request for an accounting of disclosures of protected health information.
Q: What is the purpose of the form?
A: The purpose of the form is to request information about the disclosure of protected health information.
Q: Who can use this form?
A: Anyone who wants to know about the disclosure of their protected health information can use this form.
Q: How can I obtain this form?
A: You can obtain this form by contacting the City and County of San Francisco in California.
Download a fillable version of Form DHCS6244A by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.