DOH Form 210-017 Wound Botulism Reporting Form - Washington

DOH Form 210-017 Wound Botulism Reporting Form - Washington

What Is DOH Form 210-017?

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 210-017?
A: DOH Form 210-017 is the Wound Botulism Reporting Form in Washington.

Q: What is the purpose of DOH Form 210-017?
A: The purpose of DOH Form 210-017 is to report cases of Wound Botulism in Washington.

Q: Who needs to fill out DOH Form 210-017?
A: Healthcare providers and laboratories are required to fill out DOH Form 210-017 when they encounter cases of Wound Botulism.

Q: Is DOH Form 210-017 mandatory?
A: Yes, healthcare providers and laboratories are mandated to report cases of Wound Botulism using DOH Form 210-017.

Q: What information is required on DOH Form 210-017?
A: DOH Form 210-017 requires information such as patient demographics, clinical information, and laboratory test results.

Q: What should I do if I suspect a case of Wound Botulism?
A: If you suspect a case of Wound Botulism, you should immediately report it to the Washington State Department of Health and fill out DOH Form 210-017.

Q: Are there any deadlines for submitting DOH Form 210-017?
A: Yes, healthcare providers and laboratories are required to submit DOH Form 210-017 within 3 days of identifying a suspected case of Wound Botulism.

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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 210-017 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 210-017 Wound Botulism Reporting Form - Washington

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