DOH Form 210-059 Poliomyelitis / Afm Reporting Form - Washington

What Is DOH Form 210-059?

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 210-059?
A: DOH Form 210-059 is a reporting form for Poliomyelitis/AFM (Acute Flaccid Myelitis) in Washington.

Q: What is Poliomyelitis?
A: Poliomyelitis is a highly contagious viral infection that affects the nervous system, causing paralysis.

Q: What is AFM?
A: AFM stands for Acute Flaccid Myelitis, a condition that affects the spinal cord and causes muscle weakness and paralysis.

Q: Who needs to fill out DOH Form 210-059?
A: Healthcare providers or laboratories are required to fill out this form if they diagnose or suspect a case of Poliomyelitis or AFM.

Q: What information is required on DOH Form 210-059?
A: The form requires information about the patient, including their demographic details, symptoms, laboratory test results, and vaccination status.

Q: Is reporting Poliomyelitis/AFM mandatory in Washington?
A: Yes, healthcare providers are mandated by law to report cases of Poliomyelitis or AFM to the Washington State Department of Health.

Q: Why is reporting Poliomyelitis/AFM important?
A: Reporting helps health authorities monitor and investigate cases, implement appropriate control measures, and prevent the spread of these diseases.

Q: Are there any specific deadlines for submitting DOH Form 210-059?
A: The form should be submitted to the Washington State Department of Health within 3 working days of diagnosing or suspecting a case of Poliomyelitis or AFM.

Q: What should I do if I suspect a case of Poliomyelitis or AFM?
A: If you suspect a case, you should immediately fill out DOH Form 210-059 and submit it to the Washington State Department of Health, as well as notify your local health department.