PDF
Word
Form HCA65-0004 Client Records Request Form - Washington
What Is Form HCA65-0004?
This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form HCA65-0004?A: Form HCA65-0004 is the Client Records Request Form.
Q: What is the purpose of this form?A: The purpose of this form is to request client records.
Q: Who can use this form?A: This form can be used by individuals who want to request their own client records.
Q: Is there a fee for requesting client records?A: Yes, there may be a fee involved, depending on the number of pages requested.
Q: How long does it take to process the request?A: The processing time can vary, but it is typically within 30 days.
Q: Can I request client records for someone else?A: No, this form is specifically for requesting your own client records.
Q: Are there any specific instructions for filling out this form?A: Yes, please read and follow the instructions provided on the form.
Q: Is there a deadline for submitting this form?A: There is no specific deadline, but it is recommended to submit the form as soon as possible.
Form Details:
- Released on December 1, 2018;
- The latest edition provided by the Washington State Health Care Authority;
- 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 HCA65-0004 by clicking the link below or browse more documents and templates provided by the Washington State Health Care Authority.
