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 DOH Form 210-028?
A: DOH Form 210-028 is the Hantavirus Infection Reporting Form specific to Washington.
Q: What is Hantavirus?
A: Hantavirus is a virus that can cause a rare but serious respiratory disease in humans.
Q: What is the purpose of the Hantavirus Infection Reporting Form?
A: The purpose of the form is to report cases of Hantavirus infection to the Washington State Department of Health.
Q: Who needs to fill out this form?
A: Healthcare providers are responsible for filling out and submitting this form for patients diagnosed with Hantavirus infection.
Q: What information is required on the form?
A: The form requires information about the patient's demographics, symptoms, laboratory testing, and exposure to potential sources of Hantavirus.
Q: Are there any specific instructions for completing the form?
A: Yes, the form includes instructions for each section, and healthcare providers should follow them carefully.
Q: Is the form confidential?
A: Yes, the information provided on the form is confidential and protected by privacy laws.
Q: What happens after the form is submitted?
A: The Washington State Department of Health uses the information to track and monitor cases of Hantavirus infection in the state.
Form Details:
Download a printable version of DOH Form 210-028 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.