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Form DHCS6245A Request for an Accounting of Disclosures of Protected Health Information by Parent, Guardian or Legal Representative - Genetically Handicapped Persons Program - California
What Is Form DHCS6245A?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DHCS6245A?A: DHCS6245A is a form for requesting an accounting of disclosures of protected health information for the Genetically Handicapped Persons Program in California.
Q: Who can use the DHCS6245A form?A: The DHCS6245A form can be used by a parent, guardian, or legal representative of a participant in the Genetically Handicapped Persons Program in California.
Q: What is the purpose of the DHCS6245A form?A: The purpose of the DHCS6245A form is to request information about the disclosures of protected health information made by the Genetically Handicapped Persons Program in California.
Q: Is there a fee for submitting the DHCS6245A form?A: No, there is no fee for submitting the DHCS6245A form.
Form Details:
- Released on November 1, 2007;
- The latest edition provided by the California Department of Health Care Services;
- 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 DHCS6245A by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS6245A Request for an Accounting of Disclosures of Protected Health Information by Parent, Guardian or Legal Representative - Genetically Handicapped Persons Program - California
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