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.
Q: What is the DOH Form 420-128?
A: DOH Form 420-128 is the Viral Hemorrhagic Fever Reporting Form used in Washington.
Q: What is the purpose of the form?
A: The purpose of the form is to report cases of viral hemorrhagic fever in Washington.
Q: Who fills out the form?
A: Healthcare providers or laboratories are responsible for filling out the form.
Q: Are there any specific requirements for reporting?
A: Yes, healthcare providers and laboratories are required to report cases of viral hemorrhagic fever within 24 hours.
Form Details:
Download a printable version of DOH Form 420-128 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.