DOH Form 210-058 Plague Reporting Form - Washington

DOH Form 210-058 Plague Reporting Form - Washington

What Is DOH Form 210-058?

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 210-058?A: DOH Form 210-058 is the Plague Reporting Form used in Washington.

Q: What is the purpose of the Plague Reporting Form?A: The Plague Reporting Form is used to report cases of plague in Washington.

Q: Who is required to fill out the Plague Reporting Form?A: Healthcare providers are required to fill out the Plague Reporting Form.

Q: Is the Plague Reporting Form specific to Washington?A: Yes, the Plague Reporting Form is specific to Washington.

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 210-058 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 210-058 Plague Reporting Form - Washington

4.4 of 5 (18 votes)
  • DOH Form 210-058 Plague Reporting Form - Washington

    1

  • DOH Form 210-058 Plague Reporting Form - Washington, Page 2

    2

  • DOH Form 210-058 Plague Reporting Form - Washington, Page 3

    3

  • DOH Form 210-058 Plague Reporting Form - Washington, Page 4

    4

  • DOH Form 210-058 Plague Reporting Form - Washington, Page 5

    5

  • DOH Form 210-058 Plague Reporting Form - Washington, Page 1
  • DOH Form 210-058 Plague Reporting Form - Washington, Page 2
  • DOH Form 210-058 Plague Reporting Form - Washington, Page 3
  • DOH Form 210-058 Plague Reporting Form - Washington, Page 4
  • DOH Form 210-058 Plague Reporting Form - Washington, Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT