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STATE OF CALIFORNIA-HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF HEALTH SERVICES PRIVACY OFFICE REQUEST TO ACCESS PROTECTED HEALTH INFORMATION BY PARENT, GUARDIAN OR PERSONAL REPRESENTATIVE

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What is dhs 6237 access rep?

DHS 6237 Access REP refers to the form used by individuals to request access to DHS records or information.

Who is required to file dhs 6237 access rep?

Any individual who wishes to access DHS records or information is required to file a DHS 6237 Access REP.

How to fill out dhs 6237 access rep?

To fill out DHS 6237 Access REP, you need to provide your personal information, reason for requesting access, and any additional details as required by the form.

What is the purpose of dhs 6237 access rep?

The purpose of DHS 6237 Access REP is to allow individuals to request access to DHS records or information in accordance with applicable laws and regulations.

What information must be reported on dhs 6237 access rep?

DHS 6237 Access REP requires individuals to report their personal information such as name, contact details, and reason for requesting access to DHS records or information.

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