DOH Form 210-020 Campylobacteriosis Reporting Form - Washington

DOH Form 210-020 Campylobacteriosis Reporting Form - Washington

What Is DOH Form 210-020?

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 210-020?
A: DOH Form 210-020 is a Campylobacteriosis Reporting Form used in Washington.

Q: What is Campylobacteriosis?
A: Campylobacteriosis is a bacterial infection caused by the Campylobacter bacteria.

Q: Why is reporting Campylobacteriosis important?
A: Reporting Campylobacteriosis cases helps track and monitor the spread of the infection, and assists in implementing appropriate public health measures.

Q: Who needs to complete DOH Form 210-020?
A: Healthcare providers and laboratories are required to complete DOH Form 210-020 when they identify a case of Campylobacteriosis.

Q: Is reporting Campylobacteriosis mandatory?
A: Yes, reporting Campylobacteriosis cases is mandatory in Washington.

Q: What information is required in DOH Form 210-020?
A: DOH Form 210-020 requires information about the patient, healthcare provider, laboratory, and clinical details of the Campylobacteriosis infection.

Q: What happens after submitting DOH Form 210-020?
A: After submitting DOH Form 210-020, the information is reviewed by public health officials who may follow up for further investigation or provide guidance for management and control of the infection.

Q: Are there any other reporting requirements for Campylobacteriosis?
A: In addition to DOH Form 210-020, healthcare providers are also required to report cases of Campylobacteriosis suspected to be associated with a foodborne outbreak or in a healthcare facility.

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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 210-020 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 210-020 Campylobacteriosis Reporting Form - Washington

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