Washington State Department of Health Forms

This Form is used for reporting blood lead levels in Washington. It is required to track and monitor cases of lead poisoning.

This form is used for designating an authorized representative in Washington state for healthcare purposes.

This document is used for ordering informational copies of birth and death certificates through mail in Washington state, USA.

This document is used in Washington for the legal name change application through a court order.

This form is used for appointing an authorized representative in Washington state.

This document provides recommendations for dealing with the challenges of wildfire smoke and Covid-19 during the 2020 wildfire season in Washington. Learn how to protect yourself and stay safe during this time.

This Form is used for providing recommendations on how to protect oneself from the combined risks of wildfire smoke and Covid-19 during the 2021 wildfire season in Washington.

This form is used for requesting a Certificate of Exemption for personal or religious reasons in Washington for individuals who are Marshallese.

This document is used for applying to become a yellow fever vaccine provider in Washington, DC.

This form is used for tracking and documenting any loss of vaccines in the Childhood Vaccine Program in Washington state.

This Form is used for tracking and documenting the supervised experience of a licensed assistant behavior analyst in Washington state.

This form is used for certifying the immunization status of an individual in Washington state. It is available in Portuguese.

This document is a certificate of exemption in Portuguese for personal or religious reasons in Washington state. It is used to apply for an exemption from certain requirements or obligations.

This form is used for notifying the Washington Department of Health about the operation of a mobile unit by a behavioral health agency.

This form is used for the intake of patients with tuberculosis (TB) in the state of Washington.

This form is used for reporting confidential sexually transmitted disease cases in Pacific County, Washington.

This document is used for requesting participation in the Farmer's Market Nutrition Program (FMNP) and the Senior Farmers' Market Nutrition Program (SFMNP) in Washington state.

This document is used for activating an expired registration for surgical technologists in Washington.

This form is used for verifying the psychomotor skills of Emergency Medical Technicians (EMTs) for the National Registry of Emergency Medical Technicians (NREMT) in Washington state.

This Form is used for gathering information about water facilities in Washington state. It helps in maintaining an inventory of water facilities and ensuring their safety and compliance with regulations.

This type of document provides instructions for DOH Form 331-496 and 331-497 in Washington state.

This document is a form used in Washington for the Engineering Design Review Report. It is specifically related to project submittal exceptions for distribution-related projects.

This form is used for reporting violations related to chemical monitoring in Washington state.

This Form is used for reporting violations of chemical contaminant control in Washington state.

This document is a form for reporting violations related to universal chemical monitoring in the state of Washington. It is specifically designed for cases involving Russian language.

This Form is used for reporting violations related to the monitoring of universal chemical substances in Washington state. It is applicable to Ukrainian-speaking individuals.

This form is used for lodging complaints related to medical cannabis consultants in Washington.

This form is used for reporting cases of human rabies in the state of Washington. It is an important document for tracking and monitoring rabies in the population.

This document is used for obtaining a certificate of immunization status in Washington for individuals who speak Chuukese.

This form is used for certification of immunization status in Washington. It is available in both English and Dari languages.

This document is used to certify the immunization status of individuals in Washington. It is available in both English and Pashto languages.

This document is a Certificate of Exemption form used in Washington. It is available in English and Dari languages.