Washington State Department of Health Forms

This Form is used for reporting cases of Viral Hemorrhagic Fever in Washington state.

This Form is used for reporting cases of Enterovirus D68 infections in Washington.

This document is used for reporting firearm injuries in Washington state through the Washington State Firearm Injury Reporting System.

This form is used for reporting cases of giardiasis in the state of Washington.

This form is used for reporting cases of Haemophilus Influenzae in Washington. It is a required document for tracking and monitoring the spread of this infection.

This form is used for reporting cases of Hantavirus infection in Washington state.

This form is used for reporting cases of perinatal hepatitis B in the state of Washington.

This form is used for reporting chronic cases of Hepatitis C to the Department of Health in Washington state. It is a lab-only reporting form.

This form is used for reporting information related to chronic Hepatitis B infections in Washington state. It is used to conduct interviews and gather data on individuals with Hepatitis B.

This form is used for reporting chronic Hepatitis B cases in Washington state for surveillance purposes.

This document is used for reporting cases of chronic Hepatitis C in the state of Washington.

This form is used for reporting cases of acute Hepatitis C in Washington.

This form is used for reporting cases of acute Hepatitis B in Washington state.

This Form is used for reporting cases of perinatal Hepatitis C in Washington.

This Form is used for reporting cases of chronic Hepatitis C in Washington state. It is a long form that collects detailed information about the disease.

This Form is used for reporting cases of cholera in the state of Washington.

This form is used for reporting confidential HIV/AIDS cases in Washington State.

This form is used for reporting cases of Hepatitis E in Washington state. It is used by healthcare providers to track and monitor the spread of this disease.

This document is used for reporting cases of Novel Influenza in the state of Washington.

This document is used for reporting influenza-related deaths in the state of Washington.

This type of document is used for reporting cases of Legionellosis in Washington state.

This form is used for reporting cases of Listeriosis in Washington state.

This form is used for reporting cases of leptospirosis in Washington state.

This form is used for reporting cases of Lyme Disease in Washington.

This form is used for reporting cases of malaria in Washington state. It helps the Department of Health track and monitor the spread of the disease in order to take appropriate public health measures.

This Form is used for reporting cases of Meningococcal Disease in the state of Washington.

This form is used for reporting cases of measles in the state of Washington.

This form is used for investigating cases of foodborne illnesses in Washington. It helps gather information about the illness, possible sources of contamination, and any actions taken to prevent further spread.

This form is used for reporting cases of mumps in the state of Washington.

This form is used for reporting outbreaks of influenza-like illness in Washington state. It helps health officials gather information about the spread and severity of the illness.

This Form is used for reporting outbreaks or clusters of Varicella, a vaccine preventable disease, in the state of Washington.

This form is used for reporting outbreaks related to animal contact or vectorborne diseases in Washington state.

This form is used for reporting cases of plague in Washington state.

This form is used for reporting cases of human prion disease in Washington state.

This document is for reporting outbreaks of vaccine preventable diseases in Washington state.

This form is used for reporting cases of pertussis (whooping cough) in the state of Washington.

This form is used for reporting cases of human rabies in Washington state. It allows healthcare professionals to report information about the patient, their symptoms, and their exposure to rabies. The form helps the Department of Health track and respond to cases of rabies to protect public health.

This form is used for reporting cases of psittacosis, a respiratory illness caused by exposure to infected birds, in the state of Washington.

This Form is used for reporting suspected rabies exposure incidents in Washington state.

This Form is used for reporting cases of relapsing fever in Washington state.