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DOH Form 347-102 Confidential Sexually Transmitted Disease Case Report - Kittitas 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 Kittitas 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 form.
Q: What is the purpose of DOH Form 347-102?
A: The purpose of DOH Form 347-102 is to collect information about sexually transmitted disease cases in Kittitas County, Washington.
Q: Who uses DOH Form 347-102?
A: Healthcare providers use DOH Form 347-102 to report confidential information about sexually transmitted disease cases.
Q: Is DOH Form 347-102 specific to Kittitas County, Washington?
A: Yes, DOH Form 347-102 is specific to Kittitas County, Washington.
Q: What information is collected on DOH Form 347-102?
A: DOH Form 347-102 collects information about the individual's demographics, medical history, and details about their sexually transmitted disease.
Q: Is DOH Form 347-102 confidential?
A: Yes, DOH Form 347-102 is confidential and is used to protect the privacy of individuals with sexually transmitted diseases.
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 - Kittitas County, Washington
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