DOH Form 348-367 Authorization to Release Immunization Records - Washington

What Is DOH Form 348-367?

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 348-367?
A: DOH Form 348-367 is an Authorization to Release Immunization Records form.

Q: What is the purpose of DOH Form 348-367?
A: The purpose of DOH Form 348-367 is to allow the release of immunization records.

Q: Who needs to fill out DOH Form 348-367?
A: Anyone who wants their immunization records to be released needs to fill out DOH Form 348-367.

Q: Are there any fees associated with DOH Form 348-367?
A: There are no fees associated with DOH Form 348-367.

Q: Can I use DOH Form 348-367 to release immunization records to multiple recipients?
A: Yes, DOH Form 348-367 allows for the release of immunization records to multiple recipients.

Q: How long does it take to process DOH Form 348-367?
A: Processing times for DOH Form 348-367 may vary. It is best to contact the Washington Department of Health for more information.

Q: What information is required on DOH Form 348-367?
A: DOH Form 348-367 requires information such as the individual's name, date of birth, contact information, and the recipient of the immunization records.

Q: Can I revoke the authorization on DOH Form 348-367?
A: Yes, you can revoke the authorization on DOH Form 348-367 at any time by notifying the Washington Department of Health in writing.