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.
Q: What is DOH Form 210-047?
A: DOH Form 210-047 is the Shigellosis Reporting Form used in Washington.
Q: What is Shigellosis?
A: Shigellosis is an infectious disease caused by a group of bacteria called Shigella.
Q: Why is reporting Shigellosis important?
A: Reporting Shigellosis is important to track and monitor the spread of the disease, and to implement appropriate public health measures.
Q: Who is required to fill out DOH Form 210-047?
A: Healthcare providers and laboratories are required to fill out DOH Form 210-047 for any confirmed cases of Shigellosis.
Q: Is reporting Shigellosis confidential?
A: Yes, reporting Shigellosis is confidential and protected by law to ensure patient privacy.
Q: What information is required on DOH Form 210-047?
A: DOH Form 210-047 requires information such as patient demographics, symptoms, laboratory test results, and exposure history.
Q: Are there any reporting deadlines for Shigellosis cases?
A: Yes, Shigellosis cases must be reported to the local health jurisdiction within 24 hours of identification.
Q: What happens after submitting DOH Form 210-047?
A: After submitting DOH Form 210-047, the local health jurisdiction will review the information and take appropriate public health actions.
Q: Is there any follow-up required after reporting a Shigellosis case?
A: Yes, healthcare providers may be contacted for additional information or guidance regarding the Shigellosis case.
Form Details:
Download a printable version of DOH Form 210-047 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.