DOH Form 210-052 Vibriosis (Non-cholera) Reporting Form - Washington

DOH Form 210-052 Vibriosis (Non-cholera) Reporting Form - Washington

What Is DOH Form 210-052?

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 the DOH Form 210-052?
A: The DOH Form 210-052 is a reporting form for Vibriosis (Non-cholera) in Washington.

Q: What is Vibriosis?
A: Vibriosis is an infection caused by bacteria called Vibrio. It typically causes symptoms such as diarrhea, stomach cramps, and fever.

Q: Who needs to fill out the DOH Form 210-052?
A: Healthcare providers and laboratories in Washington are required to fill out the form when they diagnose or detect a case of Vibriosis (Non-cholera).

Q: Why is reporting Vibriosis important?
A: Reporting Vibriosis cases helps public health officials track the spread of the disease, identify outbreaks, and implement measures to prevent further infections.

Q: Are there any specific instructions for filling out the form?
A: Yes, the form comes with detailed instructions on how to complete it properly. Healthcare providers and laboratories should follow these instructions.

Q: What information is required on the DOH Form 210-052?
A: The form asks for important details such as patient demographics, symptoms, laboratory test results, and information about possible sources of infection.

Q: Is the DOH Form 210-052 confidential?
A: Yes, the information reported on the form is considered confidential and is protected by state and federal privacy laws.

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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 210-052 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.

Download DOH Form 210-052 Vibriosis (Non-cholera) Reporting Form - Washington

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