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.
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.
Form Details:
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.