DOH Form 420-193 Outbreak Reporting Form - Vaccine Preventable Disease - Washington

DOH Form 420-193 Outbreak Reporting Form - Vaccine Preventable Disease - Washington

What Is DOH Form 420-193?

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 420-193?
A: DOH Form 420-193 is the Outbreak Reporting Form for Vaccine Preventable Disease in Washington.

Q: What is the purpose of DOH Form 420-193?
A: The purpose of DOH Form 420-193 is to report outbreaks of vaccine preventable diseases.

Q: Who needs to fill out DOH Form 420-193?
A: Healthcare providers and laboratories are required to fill out DOH Form 420-193 when reporting vaccine preventable disease outbreaks.

Q: What is a vaccine preventable disease?
A: A vaccine preventable disease is a disease that can be prevented by vaccination.

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Form Details:

  • Released on December 1, 2018;
  • 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 420-193 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 420-193 Outbreak Reporting Form - Vaccine Preventable Disease - Washington

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