PDF
Word
Form MH617 Fax Cover for Transmitting Phi - County of Los Angeles, California
What Is Form MH617?
This is a legal form that was released by the Department of Mental Health - County of Los Angeles, California - a government authority operating within California. The form may be used strictly within County of Los Angeles. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form MH617?A: Form MH617 is a Fax Cover for Transmitting PHI (Protected Health Information).
Q: Who uses Form MH617?A: Form MH617 is used by the County of Los Angeles, California.
Q: What is the purpose of Form MH617?A: The purpose of Form MH617 is to transmit PHI securely via fax.
Q: What information is required on Form MH617?A: Form MH617 requires the sender and recipient information, as well as details about the PHI being transmitted.
Q: Why is it important to use Form MH617 for transmitting PHI?A: Using Form MH617 ensures the secure transmission of PHI, in compliance with privacy regulations.
Form Details:
- Released on July 1, 2016;
- The latest edition provided by the Department of Mental Health - County of Los Angeles, California;
- 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 MH617 by clicking the link below or browse more documents and templates provided by the Department of Mental Health - County of Los Angeles, California.
