Washington State Department of Health Forms

This form is used for submitting bioterrorism specimens in Washington state.

This form is used for submitting a sample for Covid-19 testing in Washington.

This document is a Laboratory Supply Order Form for the state of Washington. It is used to order supplies needed for laboratory operations.

This form is used for claiming a personal or religious exemption from vaccination requirements in the state of Washington.

This form is used for verifying attendance at recovery oriented meetings in Washington state. It helps to ensure that individuals are receiving the necessary support and resources for their recovery journey.

This form is used for therapist reports in the state of Washington.

This document is used in Washington to obtain consent for the release of personal information. It enables individuals to authorize the disclosure of their medical or sensitive information to specific individuals or organizations.

This form is used for monitoring violations of disinfection byproducts in Washington state.

This form is used for requesting requisition of bioterrorism specimens in Washington state.

This document provides the updated guidelines and requirements for the reopening of indoor fitness and training facilities in Washington during phases 2 and 3 of the Covid-19 pandemic. It covers the safety protocols and measures that must be followed to ensure the health and well-being of staff and participants.

This document outlines the Covid-19 requirements for professional sports and other sporting activities in Washington state. It specifies the guidelines that must be followed to ensure the safety of athletes, staff, and spectators during the pandemic.

This document provides clarifications for Phase 1 of outdoor recreation activities in Washington due to Covid-19. It also includes updates and requirements for Phase 2.

This document outlines the Covid-19 requirements for limited in-store retail operations in Washington state during Phase 2. It provides guidelines and regulations to ensure the safety of customers and employees.

This document outlines the requirements for personal service providers in Washington during Phase 2 and Phase 3 of the COVID-19 pandemic. It provides guidelines and recommendations to help keep both customers and service providers safe.

This document is used for WIC/Medicaid nutrition purposes in the state of Washington.

This document provides information about the availability and benefits of medical foods and medical formulas through the Washington State WIC Nutrition Program. It outlines the eligibility criteria and application process for accessing these specialized nutritional products.

This document is for the Child Care Susceptible List for exempt children in Washington. It is used to keep track of children who are exempt from certain child care rules.

This document is used for following up on the child care susceptible list in Washington.

This document is for tracking and following up on individuals on a school susceptible list in Washington state.

This Form is used for documenting a list of exempt children in Washington schools who may be susceptible to certain diseases.

This document is a Water Recreation Facility Injury Report Form specific to the state of Washington. It is used to report injuries that occur at water recreation facilities.

This form is used for verifying supervised work experience in the state of Washington.

This Form is used for audiologists in Washington to delegate supervision to another professional.

This form is used for becoming an approved consultant certified counselor in Washington State.

This form is used for changing the responsible pharmacist manager in the state of Washington.

This form is used for making changes to the supervisor of a dental anesthesia assistant in the state of Washington.

This form is used for applying for a Medical Assistant-Registered Credential in Washington state. It provides instructions for completing the DOH Form 651-004.

This form is used for ordering supplies needed for newborn screening in the state of Washington.