DOH Form 210-053 Yersiniosis Reporting Form - Washington

What Is DOH Form 210-053?

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 210-053?
A: The DOH Form 210-053 is the Yersiniosis Reporting Form used in Washington state.

Q: What is Yersiniosis?
A: Yersiniosis is an infectious disease caused by the bacterium Yersinia enterocolitica.

Q: Who needs to fill out the Yersiniosis Reporting Form?
A: Healthcare providers and laboratories are required to fill out the Yersiniosis Reporting Form.

Q: Why is the Yersiniosis Reporting Form important?
A: The Yersiniosis Reporting Form helps the Washington state Department of Health track and monitor cases of Yersiniosis to protect public health.

Q: Are there any deadlines for submitting the Yersiniosis Reporting Form?
A: Yes, healthcare providers and laboratories are required to submit the Yersiniosis Reporting Form within 3 working days of identifying a case of Yersiniosis.

Q: What information is required on the Yersiniosis Reporting Form?
A: The Yersiniosis Reporting Form asks for information about the patient's demographics, symptoms, and laboratory test results.

Q: Can individuals fill out the Yersiniosis Reporting Form themselves?
A: No, the Yersiniosis Reporting Form is intended to be filled out by healthcare providers and laboratories.

Q: Is there a fee for submitting the Yersiniosis Reporting Form?
A: No, there is no fee for submitting the Yersiniosis Reporting Form.

Q: What should I do if I suspect a case of Yersiniosis?
A: If you suspect a case of Yersiniosis, you should contact your healthcare provider for diagnosis and treatment, and they will handle the reporting process.