DOH Form 210-096 Lung Injury Associated With E-Cigarette Use or Vaping - Washington State Patient Interview Guide - Washington

What Is DOH Form 210-096?

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 purpose of DOH Form 210-096?
A: DOH Form 210-096 is a patient interview guide for lung injury associated with e-cigarette use or vaping in Washington State.

Q: What does the form focus on?
A: The form focuses on gathering information about the patient's vaping habits, symptoms, and medical history.

Q: Who is the form intended for?
A: The form is intended for use by healthcare providers conducting interviews with patients who have lung injuries related to e-cigarette use or vaping in Washington State.

Q: Why is it important to fill out this form?
A: Filling out this form helps healthcare providers gather information to better understand and investigate cases of lung injury associated with e-cigarette use or vaping.