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 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.
Form Details:
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.