DOH Form 420-123 Coccidioidomycosis Reporting Form - Washington

DOH Form 420-123 Coccidioidomycosis Reporting Form - Washington

What Is DOH Form 420-123?

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 the DOH Form 420-123?
A: DOH Form 420-123 is the Coccidioidomycosis Reporting Form used in Washington state.

Q: What is Coccidioidomycosis?
A: Coccidioidomycosis is a fungal infection that primarily affects the lungs.

Q: Why is it important to report cases of Coccidioidomycosis?
A: Reporting cases of Coccidioidomycosis helps health authorities monitor and respond to the spread of the infection.

Q: Who should fill out the Coccidioidomycosis Reporting Form?
A: Healthcare providers who diagnose Coccidioidomycosis are responsible for filling out the form and reporting cases to the Department of Health.

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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 420-123 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 420-123 Coccidioidomycosis Reporting Form - Washington

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