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 Wahkiakum 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 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 Wahkiakum County, Washington.
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 when they diagnose or test for sexually transmitted diseases.
Q: Is DOH Form 347-102 confidential?
A: Yes, DOH Form 347-102 is confidential and the information reported is 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.