DOH Form 210-035 Listeriosis Reporting Form - Washington

DOH Form 210-035 Listeriosis Reporting Form - Washington

What Is DOH Form 210-035?

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 210-035?
A: DOH Form 210-035 is the Listeriosis Reporting Form specifically used in Washington state.

Q: What is Listeriosis?
A: Listeriosis is a serious infection caused by the bacterium Listeria monocytogenes.

Q: What is the purpose of DOH Form 210-035?
A: The purpose of DOH Form 210-035 is to report cases of Listeriosis in Washington to the Department of Health.

Q: Who is required to fill out DOH Form 210-035?
A: Healthcare providers and laboratories are required to fill out DOH Form 210-035 when they diagnose or detect a case of Listeriosis.

Q: How can I submit DOH Form 210-035?
A: DOH Form 210-035 can be submitted electronically or by mail to the Department of Health.

Q: What information is required on DOH Form 210-035?
A: DOH Form 210-035 requires information about the diagnosed individual, their symptoms, lab test results, and other relevant details.

Q: Is DOH Form 210-035 confidential?
A: Yes, DOH Form 210-035 contains confidential health information and is protected by privacy laws.

Q: Why is reporting Listeriosis important?
A: Reporting Listeriosis cases helps public health officials track and investigate outbreaks, identify sources of contamination, and take necessary preventive measures.

ADVERTISEMENT

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 210-035 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 210-035 Listeriosis Reporting Form - Washington

4.5 of 5 (17 votes)
  • DOH Form 210-035 Listeriosis Reporting Form - Washington

    1

  • DOH Form 210-035 Listeriosis Reporting Form - Washington, Page 2

    2

  • DOH Form 210-035 Listeriosis Reporting Form - Washington, Page 1
  • DOH Form 210-035 Listeriosis Reporting Form - Washington, Page 2
Prev 1 2 Next
ADVERTISEMENT