DOH Form 347-102 Confidential Sexually Transmitted Disease Case Report - San Juan County, Washington

What Is DOH Form 347-102?

This is a legal form that was released by the Department of Health - San Juan County, Washington - a government authority operating within Washington. The form may be used strictly within San Juan 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 the Confidential Sexually Transmitted Disease Case Report.

Q: What information does the form contain?A: The form contains confidential information related to sexually transmitted disease cases.

Q: What is the purpose of this form?A: The form is used to report and track sexually transmitted disease cases for public health monitoring and prevention.

Q: Who is required to fill out this form?A: Healthcare providers are required to fill out this form for each sexually transmitted disease case they diagnose.

Q: Is the information on this form confidential?A: Yes, the information on this form is strictly confidential.

Q: Is this form specific to San Juan County, Washington?A: Yes, this form is specific to San Juan County, Washington.

Q: What should be done with the completed form?A: The completed form should be submitted to the appropriate health department for processing and analysis.

Q: Can individuals access their own information on this form?A: Yes, individuals can request access to their own information on this form.

Q: Is there a fee for requesting access to this information?A: There may be a fee associated with requesting access to this information.

Q: Who can request access to this information?A: Authorized healthcare personnel and individuals involved in public health activities can request access to this information.

Q: Is this form mandatory for healthcare providers?A: Yes, healthcare providers are required by law to fill out this form for each sexually transmitted disease case they diagnose.

Q: What is the timeframe for submitting this form?A: This form should be submitted within a specified timeframe as per the regulations of San Juan County, Washington.

Q: Can the information on this form be used for research purposes?A: Yes, the information on this form can be used for research purposes with appropriate consent and safeguards.

Q: Are healthcare facilities required to keep records related to this form?A: Yes, healthcare facilities are required to maintain records related to this form for a specified period of time.

Q: Who should be contacted for more information about this form?A: For more information, individuals should contact the health department of San Juan County, Washington.