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DOH Form 210-017 Wound Botulism Reporting Form - Washington
What Is DOH Form 210-017?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 210-017?A: DOH Form 210-017 is the Wound Botulism Reporting Form in Washington.
Q: What is the purpose of DOH Form 210-017?A: The purpose of DOH Form 210-017 is to report cases of Wound Botulism in Washington.
Q: Who needs to fill out DOH Form 210-017?A: Healthcare providers and laboratories are required to fill out DOH Form 210-017 when they encounter cases of Wound Botulism.
Q: Is DOH Form 210-017 mandatory?A: Yes, healthcare providers and laboratories are mandated to report cases of Wound Botulism using DOH Form 210-017.
Q: What information is required on DOH Form 210-017?A: DOH Form 210-017 requires information such as patient demographics, clinical information, and laboratory test results.
Q: What should I do if I suspect a case of Wound Botulism?A: If you suspect a case of Wound Botulism, you should immediately report it to the Washington State Department of Health and fill out DOH Form 210-017.
Q: Are there any deadlines for submitting DOH Form 210-017?A: Yes, healthcare providers and laboratories are required to submit DOH Form 210-017 within 3 days of identifying a suspected case of Wound Botulism.
Form Details:
- Released on November 1, 2019;
- 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 210-017 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 210-017 Wound Botulism Reporting Form - Washington
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