Form DHCS6245 Request for an Accounting of Disclosures of Protected Health Information by Parent, Guardian or Personal Representative - California

What Is Form DHCS6245?

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 the DHCS6245 form?A: The DHCS6245 form is a request for an accounting of disclosures of protected health information by a parent, guardian, or personal representative in California.

Q: Who can use the DHCS6245 form?A: Parents, guardians, or personal representatives in California can use the DHCS6245 form 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 of protected health information is a record of who has received an individual's health information and for what purpose.

Q: Why would someone use the DHCS6245 form?A: Someone might use the DHCS6245 form to keep track of who has access to their health information and to ensure it is being used appropriately.

Q: Is there a fee to submit the DHCS6245 form?A: No, there is no fee to submit the DHCS6245 form.

Q: What should someone do with the completed DHCS6245 form?A: The completed DHCS6245 form should be submitted to the California Department of Health Care Services.

Q: How long does it take to receive a response to a DHCS6245 form?A: The response time may vary, but generally, a response to a DHCS6245 form is provided within 30 days.

Q: Can someone request an accounting of disclosures of protected health information for someone else?A: Yes, a parent, guardian, or personal representative can request an accounting of disclosures of protected health information for someone else if they have the legal authority to do so.

Q: Are there any exceptions to the right to request an accounting of disclosures of protected health information?A: Yes, there are certain exceptions, such as disclosures for treatment, payment, healthcare operations, or disclosures authorized by the individual.