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DOH Form 210-041 Pertussis Reporting Form - Washington
What Is DOH Form 210-041?
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 210-041?
A: DOH Form 210-041 is the Pertussis Reporting Form used in Washington.
Q: What is pertussis?
A: Pertussis is a highly contagious respiratory infection, also known as whooping cough.
Q: Who uses DOH Form 210-041?
A: Healthcare providers in Washington use DOH Form 210-041 to report cases of pertussis to the Department of Health.
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 210-041 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 210-041 Pertussis Reporting Form - Washington
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