Form DHCS6244 Request for an Accounting of Disclosures of Protected Health Information - California

What Is Form DHCS6244?

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 Form DHCS6244?A: Form DHCS6244 is a document used in California to request an accounting of disclosures of protected health information.

Q: What is an accounting of disclosures of protected health information?A: An accounting of disclosures is a record of who has accessed or received your protected health information.

Q: Who can use Form DHCS6244?A: Any individual in California can use Form DHCS6244 to request an accounting of disclosures of their protected health information.

Q: What information do I need to complete Form DHCS6244?A: You will need to provide your personal information, the period for which you want the accounting of disclosures, and the purpose of the request.

Q: How do I submit Form DHCS6244?A: You can submit Form DHCS6244 by mail or in person to the healthcare provider or the DHCS office.

Q: Is there a fee for submitting Form DHCS6244?A: No, there is no fee for submitting Form DHCS6244.

Q: How long does it take to receive the accounting of disclosures?A: The healthcare provider or DHCS office has 30 days from the receipt of the form to provide the accounting of disclosures.

Q: Can I request an accounting of disclosures for someone else?A: Yes, you can request an accounting of disclosures on behalf of a deceased relative or minor, as their authorized representative.