DOH Form 210-030 Reporting Form for Hepatitis a - Washington

DOH Form 210-030 Reporting Form for Hepatitis a - Washington

What Is DOH Form 210-030?

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 210-030?
A: DOH Form 210-030 is a reporting form for Hepatitis A in Washington.

Q: What is the purpose of DOH Form 210-030?
A: The purpose of DOH Form 210-030 is to report cases of Hepatitis A in Washington.

Q: Who is required to use DOH Form 210-030?
A: Healthcare providers and laboratories are required to use DOH Form 210-030 for reporting Hepatitis A cases in Washington.

Q: Is DOH Form 210-030 specific to Washington?
A: Yes, DOH Form 210-030 is specific to reporting Hepatitis A cases in Washington.

Q: What information is required on DOH Form 210-030?
A: DOH Form 210-030 requires information about the patient's demographics, symptoms, laboratory results, and potential sources of exposure.

Q: How should DOH Form 210-030 be submitted?
A: DOH Form 210-030 should be submitted electronically via secure methods provided by the Washington State Department of Health.

Q: Are there any deadlines for submitting DOH Form 210-030?
A: Yes, healthcare providers and laboratories are required to submit DOH Form 210-030 within one business day of identifying a Hepatitis A case.

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Form Details:

  • Released on November 1, 2019;
  • 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 210-030 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 210-030 Reporting Form for Hepatitis a - Washington

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