DOH Form 690-153 Immunization Collaborative Agreement - Washington

DOH Form 690-153 Immunization Collaborative Agreement - Washington

What Is DOH Form 690-153?

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 690-153?
A: DOH Form 690-153 is the Immunization Collaborative Agreement form used in Washington.

Q: What is the purpose of DOH Form 690-153?
A: The purpose of DOH Form 690-153 is to establish a collaborative agreement between healthcare providers and the Washington Department of Health for providing immunizations.

Q: Who uses DOH Form 690-153?
A: Healthcare providers in Washington use DOH Form 690-153.

Q: What is the content of DOH Form 690-153?
A: DOH Form 690-153 includes information such as the healthcare provider's name, contact information, and agreement terms for immunizations.

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Form Details:

  • Released on December 1, 2020;
  • 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 690-153 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 690-153 Immunization Collaborative Agreement - Washington

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