DOH Form 210-034 Legionellosis Reporting Form - Washington

What Is DOH Form 210-034?

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 210-034?
A: The DOH Form 210-034 is the Legionellosis Reporting Form used in Washington.

Q: What is Legionellosis?
A: Legionellosis is a respiratory disease caused by bacteria of the Legionella genus.

Q: Why is the Legionellosis Reporting Form used?
A: The Legionellosis Reporting Form is used to report cases of Legionellosis to the Washington State Department of Health (DOH).

Q: Who is required to fill out the Legionellosis Reporting Form?
A: Healthcare providers and laboratories are required to fill out the Legionellosis Reporting Form when they diagnose or confirm a case of Legionellosis.

Q: What information is needed on the Legionellosis Reporting Form?
A: The Legionellosis Reporting Form asks for information about the patient, including demographics, symptoms, test results, and exposure history.

Q: Is reporting Legionellosis mandatory in Washington?
A: Yes, reporting Legionellosis cases to the DOH is mandatory in Washington.

Q: What happens after the Legionellosis Reporting Form is submitted?
A: After the form is submitted, the DOH will review the information and take appropriate actions, such as investigating the source of the infection and providing public health recommendations.

Q: Are individual patient names kept confidential on the Legionellosis Reporting Form?
A: Yes, individual patient names and other confidential information are protected and kept confidential on the Legionellosis Reporting Form.