DOH Form 347-102 Confidential Sexually Transmitted Disease Case Report - Walla Walla 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 Walla Walla County. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DOH Form 347-102?
A: The DOH Form 347-102 is a confidential sexually transmitted disease case report.

Q: What is its purpose?
A: Its purpose is to gather information about cases of sexually transmitted diseases.

Q: In which county is this form used?
A: This form is used in Walla Walla County, Washington.

Q: Is the information on this form confidential?
A: Yes, the information on this form is confidential.

Q: Who is required to fill out this form?
A: Healthcare providers are required to fill out this form when they encounter cases of sexually transmitted diseases.

Q: What information is collected on this form?
A: The form collects information about the patient, such as their name, address, and demographic details, as well as information about their infection and treatment history.

Q: Are there any penalties for not submitting this form?
A: Yes, healthcare providers who fail to submit this form may face penalties or legal consequences.

Q: Can individuals access the information collected on this form?
A: No, the information collected on this form is confidential and not accessible to the general public.