DOH Form 348-054 Influenza Vaccine Administration Request - Washington

DOH Form 348-054 Influenza Vaccine Administration Request - Washington

What Is DOH Form 348-054?

This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is DOH Form 348-054?
A: DOH Form 348-054 is the Influenza Vaccine Administration Request form specific to Washington state.

Q: Who uses DOH Form 348-054?
A: Medical providers and healthcare facilities in Washington state use DOH Form 348-054 to request influenza vaccine administration.

Q: What is the purpose of DOH Form 348-054?
A: The purpose of DOH Form 348-054 is to request administration of influenza vaccine for patients.

Q: Is DOH Form 348-054 mandatory?
A: Yes, healthcare providers in Washington state are required to use DOH Form 348-054 to request influenza vaccine administration.

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Form Details:

  • Released on October 5, 2007;
  • The latest edition provided by the Washington State 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 printable version of DOH Form 348-054 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 348-054 Influenza Vaccine Administration Request - Washington

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