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DOH Form 420-011 Cryptococcus Gattii Reporting Form - Washington
What Is DOH Form 420-011?
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 the DOH Form 420-011?
A: DOH Form 420-011 is the Cryptococcus Gattii Reporting Form in Washington.
Q: What is Cryptococcus Gattii?
A: Cryptococcus gattii is a type of fungus that can cause illness, particularly in people with weakened immune systems.
Q: Who needs to fill out this form?
A: Healthcare providers are required to fill out this form and report cases of Cryptococcus gattii to the Washington State Department of Health.
Q: Why is reporting Cryptococcus Gattii important?
A: Reporting cases of Cryptococcus gattii helps public health officials monitor and respond to outbreaks, and track the spread of the fungus.
Q: Do I need to fill out this form for a suspected case of Cryptococcus Gattii?
A: Yes, healthcare providers are required to report both confirmed and suspected cases of Cryptococcus gattii on this form.
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 420-011 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 420-011 Cryptococcus Gattii Reporting Form - Washington
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