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DOH Form 420-213 Varicella Death Reporting Form - Washington
What Is DOH Form 420-213?
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 420-213?
A: DOH Form 420-213 is the Varicella Death Reporting Form used in Washington.
Q: What is the purpose of the Varicella Death Reporting Form?
A: The Varicella Death Reporting Form is used to report deaths related to varicella (chickenpox) in Washington.
Q: Who uses the DOH Form 420-213?
A: The DOH Form 420-213 is used by healthcare professionals and institutions in Washington.
Q: What information is included in the form?
A: The form includes information about the deceased individual, the date and cause of death, and possible complications of varicella.
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 420-213 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 420-213 Varicella Death Reporting Form - Washington
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