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 Lincoln County. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the DOH Form 347-102?
A: DOH Form 347-102 is a confidential sexually transmitted disease case report form.
Q: What is the purpose of the form?
A: The form is used to report and track cases of sexually transmitted diseases in Lincoln County, Washington.
Q: Who is required to fill out this form?
A: Healthcare providers are required to fill out this form for each diagnosed case of sexually transmitted disease.
Q: Is the information on the form confidential?
A: Yes, the information on the form is confidential and protected by law.
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.