PDF
Word
DOH Form 210-051 Unexplained Critical Illness or Death Reporting Form - Washington
What Is DOH Form 210-051?
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 210-051?
A: DOH Form 210-051 is the Unexplained Critical Illness or Death Reporting Form in Washington.
Q: Why is this form used?
A: This form is used to report unexplained critical illness or death cases.
Q: Who uses this form?
A: This form is used by healthcare professionals and other authorized individuals in Washington.
Q: What information is needed on the form?
A: The form requires information about the patient, symptoms, medical history, and any relevant tests or investigations.
Q: Is this form mandatory?
A: Yes, reporting unexplained critical illness or death cases is mandatory in Washington.
Q: Who should I contact for more information?
A: For more information, you can contact the Washington State 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 210-051 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 210-051 Unexplained Critical Illness or Death Reporting Form - Washington
1
2
3
4
5
