DOH Form 210-054 West Nile Virus Disease Reporting Form - Washington

DOH Form 210-054 West Nile Virus Disease Reporting Form - Washington

What Is DOH Form 210-054?

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 210-054?
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.

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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 210-054 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 210-054 West Nile Virus Disease Reporting Form - Washington

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