Get the free OHA 3560B COVID-19 Minor Testing Consent Form

COVID-19 Minor Testing Consent Form A minor 15 years of age or older may consent to COVID-19 testing as ordered by the Oregon Health Authority under ORS 109.640(2)(a). To be completed by student ages

How to fill out oha 3560b covid-19 minor

How to fill out oha 3560b covid-19 minor

1. Start by downloading the OHA 3560B COVID-19 Minor form from the official Oregon Health Authority website.
2. Carefully read the instructions provided with the form to understand the necessary information and requirements.
3. Begin filling out the form by entering the minor's personal details such as their full name, date of birth, and contact information.
4. Provide accurate information about the minor's health condition, symptoms, and any relevant medical history related to COVID-19.
5. If the minor has been tested for COVID-19, specify the details of the test including the date, testing facility, and test result.
6. Indicate if the minor has received any COVID-19 vaccines and provide the relevant details such as the vaccine brand and dates of administration.
7. If applicable, mention any close contact the minor has had with individuals diagnosed with COVID-19.
8. Sign and date the form to certify its accuracy and completeness.
9. Review the filled-out form to ensure all necessary details have been provided and there are no errors or omissions.
10. Submit the completed OHA 3560B COVID-19 Minor form as instructed, either online or through the designated submission method.

Who needs oha 3560b covid-19 minor?

1. OHA 3560B COVID-19 Minor form is required for individuals under 18 years of age who need to report their COVID-19 related information. This form is typically used by parents, guardians, or legal representatives of minors to provide accurate information about the minor's health condition, symptoms, test results, and vaccination status in relation to COVID-19.

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What is oha 3560b covid-19 minor?

It is a form used to report COVID-19 cases in minors to the Oregon Health Authority (OHA).

Who is required to file oha 3560b covid-19 minor?

Healthcare providers, schools, and other entities responsible for the care of minors are required to file oha 3560b covid-19 minor.

How to fill out oha 3560b covid-19 minor?

The form can be filled out online on the OHA website or submitted through other approved reporting methods.

What is the purpose of oha 3560b covid-19 minor?

The purpose is to track and monitor COVID-19 cases in minors in order to inform public health response efforts.

What information must be reported on oha 3560b covid-19 minor?

Information such as the minor's demographics, testing results, symptoms, and exposure history must be reported on the form.