DSHS Form 03-387B Dshs Notice of Privacy Practices for Client Medical Information: Dshs HIPAA Covered Programs - Washington (Cambodian)

DSHS Form 03-387B Dshs Notice of Privacy Practices for Client Medical Information: Dshs HIPAA Covered Programs - Washington (Cambodian)

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington.

The document is provided in Cambodian. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DSHS Form 03-387B?A: DSHS Form 03-387B is the Notice of Privacy Practices for Client Medical Information for DSHS HIPAA Covered Programs in Washington.

Q: What is HIPAA?A: HIPAA stands for Health Insurance Portability and Accountability Act. It is a federal law that protects the privacy and security of medical information.

Q: What are DSHS HIPAA Covered Programs?A: DSHS HIPAA Covered Programs are programs offered by the Washington State Department of Social and Health Services that are subject to the privacy regulations of HIPAA.

Q: What is the purpose of DSHS Form 03-387B?A: The purpose of DSHS Form 03-387B is to inform clients about their privacy rights and how their medical information may be used or disclosed by DSHS HIPAA Covered Programs.

Q: Who is this form for?A: This form is for clients of DSHS HIPAA Covered Programs in Washington who receive services related to their medical information.

Q: What does this form cover?A: This form covers the privacy practices related to the client's medical information and how DSHS HIPAA Covered Programs may use or disclose that information.

Q: What language is this form available in?A: This form is available in the Cambodian language for clients who prefer to receive it in that language.

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Form Details:

  • Released on December 1, 2021;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of DSHS Form 03-387B by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 03-387B Dshs Notice of Privacy Practices for Client Medical Information: Dshs HIPAA Covered Programs - Washington (Cambodian)

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