DOH Form 420-030 Outbreak / Cluster Reporting Form - Vaccine Preventable Disease: Varicella - Washington

What Is DOH Form 420-030?

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 420-030?
A: DOH Form 420-030 is the Outbreak/Cluster Reporting Form for reporting cases of Vaccine Preventable Disease, specifically Varicella, in Washington.

Q: What is Varicella?
A: Varicella, also known as chickenpox, is a highly contagious viral infection that causes an itchy rash and small, fluid-filled blisters.

Q: What is the purpose of DOH Form 420-030?
A: The purpose of DOH Form 420-030 is to track and report outbreaks or clusters of Varicella cases in Washington and gather data for public health purposes.

Q: Who needs to fill out DOH Form 420-030?
A: Healthcare providers, laboratories, and institutions like schools or childcare centers are required to fill out DOH Form 420-030 if they identify or suspect an outbreak or cluster of Varicella cases.

Q: What information is required on DOH Form 420-030?
A: DOH Form 420-030 requires information such as patient demographics, symptom onset dates, vaccination history, laboratory test results, and contact information of the reporter.

Q: Is reporting outbreaks or clusters of Varicella mandatory?
A: Yes, reporting outbreaks or clusters of Varicella is mandatory in Washington to ensure timely public health interventions and prevent further spread of the disease.

Q: Who should I contact if I have questions about DOH Form 420-030?
A: For questions or clarification about DOH Form 420-030, you can contact your local health jurisdiction or the Washington State Department of Health.