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DOH Form 347-102 Confidential Sexually Transmitted Disease Case Report - Cowlitz County, Washington
What Is DOH Form 347-102?
This is a legal form that was released by the Washington State Department of Health - a government authority operating within Washington. The form may be used strictly within Cowlitz County. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DOH Form 347-102?A: DOH Form 347-102 is a Confidential Sexually Transmitted Disease Case Report specific to Cowlitz County, Washington.
Q: What is the purpose of DOH Form 347-102?A: The purpose of DOH Form 347-102 is to collect confidential information about individuals who have been diagnosed with sexually transmitted diseases in Cowlitz County, Washington.
Q: What information does DOH Form 347-102 collect?A: DOH Form 347-102 collects information such as the individual's name, contact information, date of birth, sexual history, and medical diagnosis related to the sexually transmitted disease.
Q: Who is required to fill out DOH Form 347-102?A: Healthcare providers and laboratories that diagnose sexually transmitted diseases are required to fill out DOH Form 347-102.
Q: Why is DOH Form 347-102 confidential?A: DOH Form 347-102 is confidential to protect the privacy of individuals diagnosed with sexually transmitted diseases.
Form Details:
- Released on April 23, 2021;
- 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 347-102 by clicking the link below or browse more documents and templates provided by the Washington State Department of Health.
Download DOH Form 347-102 Confidential Sexually Transmitted Disease Case Report - Cowlitz County, Washington
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