This version of the form is not currently in use and is provided for reference only. Download this version of Form DHCS6244 for the current year.
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.
Q: What is form DHCS6244?
A: Form DHCS6244 is a request for an accounting of disclosures of protected health information in California.
Q: What is protected health information?
A: Protected health information refers to any information about a person's health status, healthcare treatment, or payment for healthcare services that is created or received by a healthcare provider and that identifies the person.
Q: Who can use form DHCS6244?
A: Anyone in California who wants to request an accounting of disclosures of their protected health information can use form DHCS6244.
Q: What is an accounting of disclosures?
A: An accounting of disclosures is a report that lists the times and parties to whom a person's protected health information has been disclosed.
Q: Why would someone need to request an accounting of disclosures?
A: Someone may need to request an accounting of disclosures to review who has accessed their protected health information and ensure that it has been properly handled and protected.
Q: How can someone request an accounting of disclosures using form DHCS6244?
A: To request an accounting of disclosures, the person should fill out form DHCS6244 with their personal information and submit it to the appropriate healthcare provider or entity.
Q: Is there a cost to request an accounting of disclosures?
A: There may be a cost associated with requesting an accounting of disclosures, depending on the healthcare provider or entity's policies.
Q: How long does it take to receive an accounting of disclosures?
A: The timeframe for receiving an accounting of disclosures may vary depending on the healthcare provider or entity, but it is generally within 60 days of the request being received.
Q: Is form DHCS6244 specific to California?
A: Yes, form DHCS6244 is specific to California and its requirements for accounting of disclosures of protected health information.
Download a fillable version of Form DHCS6244 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.