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DOH Form 210-039 Mumps Reporting Form - Washington
What Is DOH Form 210-039?
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 210-039?
A: DOH Form 210-039 is a Mumps Reporting Form used in Washington state.
Q: What is the purpose of DOH Form 210-039?
A: The purpose of DOH Form 210-039 is to report cases of mumps in Washington state.
Q: Who is required to fill out DOH Form 210-039?
A: Healthcare providers and laboratories are required to fill out DOH Form 210-039.
Q: When should DOH Form 210-039 be submitted?
A: DOH Form 210-039 should be submitted within three working days of identification of a suspected or confirmed mumps case.
Q: Is DOH Form 210-039 confidential?
A: Yes, DOH Form 210-039 is confidential and should not include any personally identifiable information.
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 210-039 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 210-039 Mumps Reporting Form - Washington
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