DOH Form 210-019 Brucellosis Reporting Form - Washington

DOH Form 210-019 Brucellosis Reporting Form - Washington

What Is DOH Form 210-019?

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 210-019?
A: DOH Form 210-019 is the Brucellosis Reporting Form used in Washington.

Q: What is the purpose of DOH Form 210-019?
A: The purpose of DOH Form 210-019 is to report cases of brucellosis in Washington.

Q: Who uses DOH Form 210-019?
A: Healthcare providers, laboratories, and other healthcare professionals use DOH Form 210-019 to report cases of brucellosis.

Q: Is DOH Form 210-019 mandatory?
A: Yes, reporting cases of brucellosis using DOH Form 210-019 is mandatory in Washington.

Q: What information is required on DOH Form 210-019?
A: DOH Form 210-019 requires information such as patient demographics, symptoms, laboratory results, and treatment information.

Q: Are there any fees associated with submitting DOH Form 210-019?
A: No, there are no fees associated with submitting DOH Form 210-019.

Q: Are there any deadlines for submitting DOH Form 210-019?
A: DOH Form 210-019 should be submitted within one business day of the diagnosis or suspicion of brucellosis.

Q: What should I do if I have questions about DOH Form 210-019?
A: If you have questions about DOH Form 210-019, you can contact the Washington State Department of Health for assistance.

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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 210-019 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 210-019 Brucellosis Reporting Form - Washington

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