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DOH Form 347-102 Confidential Sexually Transmitted Disease Case Report - Jefferson County, Washington
What Is DOH Form 347-102?
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 Jefferson County. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 347-102?
A: DOH Form 347-102 is a Confidential Sexually Transmitted Disease Case Report.
Q: Who is required to fill out DOH Form 347-102?
A: Healthcare providers and laboratories are required to fill out DOH Form 347-102.
Q: What is the purpose of DOH Form 347-102?
A: The purpose of DOH Form 347-102 is to report confidential information about sexually transmitted disease cases in Jefferson County, Washington.
Q: Is DOH Form 347-102 specific to Jefferson County, Washington?
A: Yes, DOH Form 347-102 is specific to Jefferson County, Washington.
Q: Can the information reported on DOH Form 347-102 be shared with others?
A: No, the information reported on DOH Form 347-102 is confidential and should not be shared with others.
Form Details:
- Released on April 23, 2021;
- 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 347-102 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 347-102 Confidential Sexually Transmitted Disease Case Report - Jefferson County, Washington
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