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Form DHMH1140 Maryland Confidential Morbidity Report - Maryland
What Is Form DHMH1140?
This is a legal form that was released by the Maryland Department of Health - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DHMH1140?
A: DHMH1140 is the form for Maryland Confidential Morbidity Report.
Q: What is the purpose of the Maryland Confidential Morbidity Report?
A: The purpose of the report is to collect information about certain diseases and conditions for public health surveillance.
Q: Who needs to fill out the DHMH1140 form?
A: Healthcare providers and laboratories are required to complete the form.
Q: What diseases and conditions are reported on the DHMH1140 form?
A: The form collects information about diseases such as HIV/AIDS, Lyme disease, measles, and tuberculosis, as well as other reportable conditions.
Q: Is the information on the DHMH1140 form confidential?
A: Yes, the information on the form is confidential and protected by state laws.
Q: Can individuals access their own DHMH1140 records?
A: Yes, individuals have the right to request access to their own records.
Q: How long should healthcare providers retain the DHMH1140 forms?
A: Healthcare providers should retain the forms for a minimum of 5 years.
Q: Are there any penalties for failure to report on the DHMH1140 form?
A: Yes, healthcare providers and laboratories may face penalties for failure to report.
Form Details:
- Released on March 1, 2017;
- The latest edition provided by the Maryland Department of Health;
- 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 DHMH1140 by clicking the link below or browse more documents and templates provided by the Maryland Department of Health.
