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 210-052?
A: The DOH Form 210-052 is a reporting form for Vibriosis (Non-cholera) in Washington.
Q: What is Vibriosis?
A: Vibriosis is an infection caused by bacteria called Vibrio. It typically causes symptoms such as diarrhea, stomach cramps, and fever.
Q: Who needs to fill out the DOH Form 210-052?
A: Healthcare providers and laboratories in Washington are required to fill out the form when they diagnose or detect a case of Vibriosis (Non-cholera).
Q: Why is reporting Vibriosis important?
A: Reporting Vibriosis cases helps public health officials track the spread of the disease, identify outbreaks, and implement measures to prevent further infections.
Q: Are there any specific instructions for filling out the form?
A: Yes, the form comes with detailed instructions on how to complete it properly. Healthcare providers and laboratories should follow these instructions.
Q: What information is required on the DOH Form 210-052?
A: The form asks for important details such as patient demographics, symptoms, laboratory test results, and information about possible sources of infection.
Q: Is the DOH Form 210-052 confidential?
A: Yes, the information reported on the form is considered confidential and is protected by state and federal privacy laws.
Form Details:
Download a printable version of DOH Form 210-052 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.