This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. The form may be used strictly within Cowlitz County. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is DOH Form 347-102?
A: DOH Form 347-102 is a Confidential Sexually Transmitted Disease Case Report specific to Cowlitz County, Washington.
Q: What is the purpose of DOH Form 347-102?
A: The purpose of DOH Form 347-102 is to collect confidential information about individuals who have been diagnosed with sexually transmitted diseases in Cowlitz County, Washington.
Q: What information does DOH Form 347-102 collect?
A: DOH Form 347-102 collects information such as the individual's name, contact information, date of birth, sexual history, and medical diagnosis related to the sexually transmitted disease.
Q: Who is required to fill out DOH Form 347-102?
A: Healthcare providers and laboratories that diagnose sexually transmitted diseases are required to fill out DOH Form 347-102.
Q: Why is DOH Form 347-102 confidential?
A: DOH Form 347-102 is confidential to protect the privacy of individuals diagnosed with sexually transmitted diseases.
Form Details:
Download a printable version of DOH Form 347-102 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.