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This version of the form is not currently in use and is provided for reference only. Download this version of
DSHS Form 00-412A
for the current year.
DSHS Form 00-412A Infection Prevention (Ip) Assessment Notes - Washington
What Is DSHS Form 00-412A?
This is a legal form that was released by the Washington State Department of Social and Health Services - 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 DSHS Form 00-412A?
A: DSHS Form 00-412A is the Infection Prevention (IP) Assessment Notes form used in Washington.
Q: What is an Infection Prevention Assessment?
A: An Infection Prevention Assessment is an evaluation of a healthcare facility's infection control protocols and practices.
Q: Who uses DSHS Form 00-412A?
A: Healthcare professionals and facilities in Washington use DSHS Form 00-412A.
Q: What is the purpose of DSHS Form 00-412A?
A: The purpose of DSHS Form 00-412A is to document the findings and observations from an Infection Prevention Assessment.
Q: What information is included in DSHS Form 00-412A?
A: DSHS Form 00-412A includes details about the facility's infection control policies, procedures, staff training, and the results of the assessment.
Q: Is DSHS Form 00-412A mandatory?
A: Yes, healthcare facilities in Washington are required to complete and submit DSHS Form 00-412A as part of their infection prevention efforts.
Form Details:
- Released on April 1, 2021;
- The latest edition provided by the Washington State Department of Social and Health Services;
- 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 DSHS Form 00-412A by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.
Download DSHS Form 00-412A Infection Prevention (Ip) Assessment Notes - Washington
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