This version of the form is not currently in use and is provided for reference only. Download this version of Form CDPH110a for the current year.
This is a legal form that was released by the California Department of Public Health - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CDPH110a?
A: Form CDPH110a is a confidential morbidity report used in California.
Q: What is the purpose of Form CDPH110a?
A: The purpose of Form CDPH110a is to report confidential information about certain diseases or conditions to the California Department of Public Health (CDPH).
Q: Who uses Form CDPH110a?
A: Healthcare providers and laboratories in California use Form CDPH110a to report confidential morbidities.
Q: What diseases or conditions are reported on Form CDPH110a?
A: Form CDPH110a is used to report various reportable diseases or conditions, such as sexually transmitted infections, tuberculosis, and hepatitis.
Q: Is Form CDPH110a confidential?
A: Yes, Form CDPH110a is confidential. It contains sensitive information and is protected by law.
Q: Are healthcare providers required to submit Form CDPH110a?
A: Yes, healthcare providers in California are required by law to submit Form CDPH110a for reportable diseases or conditions.
Q: What happens after Form CDPH110a is submitted?
A: After Form CDPH110a is submitted, the CDPH uses the information for surveillance, prevention, and control of communicable diseases in California.
Q: Can individuals access their own Form CDPH110a?
A: No, individuals cannot access their own Form CDPH110a. It is a confidential report and can only be accessed by authorized personnel.
Q: Is there a fee for submitting Form CDPH110a?
A: No, there is no fee for submitting Form CDPH110a. It is a required report and does not require payment.
Form Details:
Download a fillable version of Form CDPH110a by clicking the link below or browse more documents and templates provided by the California Department of Public Health.