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 210-054?
A: DOH Form 210-054 is the West Nile VirusDisease Reporting Form for Washington state.
Q: What is the purpose of the form?
A: The form is used to report cases of West Nile Virus Disease in Washington.
Q: Who is required to fill out the form?
A: Healthcare providers, laboratories, and other healthcare facilities are required to fill out the form.
Q: Is there a deadline for submitting the form?
A: Yes, the form should be submitted within 24 hours of diagnosing or suspecting a case of West Nile Virus Disease.
Q: What information is required on the form?
A: The form requires information about the patient, including their demographics, symptoms, and laboratory test results.
Q: Are there any specific instructions for completing the form?
A: Yes, the form instructions provide detailed guidance on how to complete each section of the form.
Q: Who should I contact if I have questions about the form?
A: For questions or assistance with the form, contact the Washington State Department of Health (DOH).
Q: Is the form mandatory?
A: Yes, reporting cases of West Nile Virus Disease is mandatory in Washington.
Q: What happens after submitting the form?
A: After submitting the form, the Washington State Department of Health (DOH) will review the information and take appropriate public health actions.
Form Details:
Download a printable version of DOH Form 210-054 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.