Washington State Department of Health Forms

This document is used for requesting a certificate of exemption from immunization requirements in Washington. It is available in both English and Korean language.

This document is for obtaining a Certificate of Exemption from Immunization Requirements in Washington state. It is available in English and Somali languages.

This form is used for pharmacy interns in Washington to renew their license and attest to their internship activities.

This type of document, DOH Form 670-147 Substance Use Disorder Professional Enhancement Plan (Ep) - Washington, is used for developing a plan to enhance the skills and knowledge of professionals working in the field of substance use disorder treatment in the state of Washington.

This form is used for verifying the qualifications and professional status of substance use disorder professionals in Washington state.

This document is used for attesting the recovery from a health condition in the state of Washington.

This document is used for declaring completion of an approved education program in Washington for professionals training in substance use disorder.

This Form is used for verifying out-of-state credentials in Washington state.

This Form is used for retired healthcare professionals in Washington to renew their active credential and declare their practice.

This Form is used for verifying the registration of nursing technicians with their employers in the state of Washington.

This form is used for verifying the original licensure by examination for non-nursys licenses in Washington state.

This form is used for verifying the education of licensed practical nurses who were educated outside the United States in the state of Washington.

This Form is used for verifying education credentials of registered nurses who were educated outside the United States in the state of Washington.

This Form is used for Washington registered Advanced Registered Nurse Practitioners (ARNPs) with an existing license to apply for prescriptive authority.

This document is used for reporting pharmacology continuing education for healthcare professionals in the state of Washington. It helps healthcare professionals maintain their license and stay up to date with the latest developments in pharmacology.

This document is a form used for the EMS Evaluator Workshop Exam in Washington.

This document is a key for the EMS Evaluator Workshop Exam in Washington state.

This document is a worksheet used in Washington to calculate full-time equivalent (FTE) for in-home services.

This form is used for applying for program approval and Medicaid reimbursement for a Diabetes Education Program in Washington.

This form is used for collecting samples for newborn screening in Washington. It provides instructions on how to collect and submit the necessary samples for testing.

This Form is used for initiating an investigation into the osteopathic training in Washington. It is used by the Department of Health to gather relevant information and assess the compliance of training programs.

This form is used for verifying appointments for osteopathic training in Washington.

This document is a form for requesting birth certificates by mail in Washington state.

This form is used for reporting cases of Anthrax in Washington state.

This form is used for reporting arboviral diseases in Washington state.

This document is used for reporting cases of foodborne botulism in Washington state.

This form is used for reporting cases of infant botulism in Washington state. It is used to document and track the occurrence of this rare disease in infants.

This form is used for reporting cases of wound botulism in Washington state.

This document is used for reporting cases of brucellosis in Washington state.

This Form is used for reporting cases of botulism in the state of Washington.

This document is used for reporting cases of Burkholderia infection in the state of Washington.

This form is used for reporting cases of Campylobacteriosis in Washington state. It helps to track and prevent the spread of this bacterial infection.

This Form is used for reporting highly antibiotic resistant organisms such as Cre, other Gram Negative, Staph, Strep and Candida in Washington.

This form is used for conducting investigations and determining the outbreak of COVID-19 in Washington state.

This document is used for completing an extended form related to Covid-19 in Washington.

This form is used for reporting the results of a Covid-19 point of care test in Washington State.

This form is used for reporting cases of cryptosporidiosis in the state of Washington.

This form is used for reporting cases of Cryptococcus gattii in Washington state.

This form is used for reporting cases of cyclosporiasis in Washington state.

This form is used for reporting cases of diphtheria in Washington state.