Form HEA3334 Ohio Confidential Reportable Disease - Ohio

Form HEA3334 Ohio Confidential Reportable Disease - Ohio

What Is Form HEA3334?

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

FAQ

Q: What is HEA3334 Ohio Confidential Reportable Disease?
A: HEA3334 Ohio Confidential Reportable Disease is a reporting form used in Ohio to track and monitor certain infectious diseases.

Q: Who is required to complete the HEA3334 form?
A: Healthcare providers and laboratories in Ohio are required to complete the HEA3334 form when they encounter a patient with a reportable disease.

Q: What are reportable diseases in Ohio?
A: Reportable diseases in Ohio include but are not limited to HIV/AIDS, hepatitis, tuberculosis, sexually transmitted infections, certain foodborne illnesses, and vaccine-preventable diseases.

Q: What information is required on the HEA3334 form?
A: The HEA3334 form requires information such as the patient's demographics, laboratory test results, diagnosis, and contact information of the healthcare provider or laboratory submitting the form.

Q: Is the information collected on the HEA3334 form confidential?
A: Yes, the information collected on the HEA3334 form is confidential and protected under Ohio law. It is only used for public health purposes and is not disclosed to the public.

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Form Details:

  • Released on May 1, 2014;
  • The latest edition provided by the Ohio 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 HEA3334 by clicking the link below or browse more documents and templates provided by the Ohio Department of Health.

Download Form HEA3334 Ohio Confidential Reportable Disease - Ohio

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  • Form HEA3334 Ohio Confidential Reportable Disease - Ohio, Page 1
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