DOH Form 420-098 Highly Antibiotic Resistant Organism (Cre, Other Gram Negative, Staph, Strep and Candida) Reporting Form - Washington

DOH Form 420-098 Highly Antibiotic Resistant Organism (Cre, Other Gram Negative, Staph, Strep and Candida) Reporting Form - Washington

What Is DOH Form 420-098?

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 420-098?A: DOH Form 420-098 is a reporting form for highly antibiotic resistant organisms.

Q: What is the purpose of DOH Form 420-098?A: The purpose of DOH Form 420-098 is to report cases of highly antibiotic resistant organisms, such as CRE, other Gram negative bacteria, Staph, Strep, and Candida, in Washington.

Q: Who is required to complete DOH Form 420-098?A: Healthcare facilities and laboratories are required to complete DOH Form 420-098.

Q: What organisms should be reported on DOH Form 420-098?A: DOH Form 420-098 should be used to report highly antibiotic resistant organisms, including CRE, other Gram negative bacteria, Staph, Strep, and Candida.

Q: Is DOH Form 420-098 specific to Washington?A: Yes, DOH Form 420-098 is specific to Washington and should be used for reporting cases in the state.

Q: Are all healthcare facilities and laboratories in Washington required to submit DOH Form 420-098?A: Yes, all healthcare facilities and laboratories in Washington are required to submit DOH Form 420-098 if they encounter cases of highly antibiotic resistant organisms.

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Form Details:

  • Released on January 29, 2020;
  • 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 420-098 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 420-098 Highly Antibiotic Resistant Organism (Cre, Other Gram Negative, Staph, Strep and Candida) Reporting Form - Washington

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  • DOH Form 420-098 Highly Antibiotic Resistant Organism (Cre, Other Gram Negative, Staph, Strep and Candida) Reporting Form - Washington

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  • DOH Form 420-098 Highly Antibiotic Resistant Organism (Cre, Other Gram Negative, Staph, Strep and Candida) Reporting Form - Washington, Page 1
  • DOH Form 420-098 Highly Antibiotic Resistant Organism (Cre, Other Gram Negative, Staph, Strep and Candida) Reporting Form - Washington, Page 2
  • DOH Form 420-098 Highly Antibiotic Resistant Organism (Cre, Other Gram Negative, Staph, Strep and Candida) Reporting Form - Washington, Page 3
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