WA DOH 347-102 - Kitsap County 2013 free printable template
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FAX Page 1 To: Adapted from WA DOH Form 347102 Kitsap County Health District 3603375241 (Confidential FAX Line) CONFIDENTIAL SEXUALLY TRANSMITTED DISEASE CASE REPORT STDs within three work days (WAC
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How to fill out Kitsap County confidential sexually?
01
Begin by obtaining the necessary forms from the Kitsap County Health Department or their website.
02
Carefully read through the instructions provided with the forms to ensure you understand the requirements and procedures.
03
Fill in your personal information accurately, including your full name, contact information, and any other requested details.
04
Answer all questions on the form truthfully and to the best of your knowledge. Provide any additional information or details as requested.
05
If needed, consult with a healthcare provider or seek legal advice to fully understand any medical or legal terminology used in the form.
06
Review your completed form to ensure all sections have been filled out correctly and completely.
07
Sign and date the form as required by the instructions. If applicable, have any required witnesses sign the form as well.
08
Make copies of the completed form for your records before submitting it to the Kitsap County Health Department.
09
Follow the submission instructions provided to send the form to the correct department or office.
10
Keep track of any confirmation or reference numbers related to your submission for future communication or follow-up.
Who needs Kitsap County confidential sexually?
01
Individuals residing in Kitsap County, Washington, who require confidential sexual health services.
02
Any person seeking to undergo confidential sexually transmitted infection testing and treatment within Kitsap County.
03
Individuals who want to access or inquire about sexual health resources, education, or counseling offered by the Kitsap County Health Department.
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What is kitsap county confidential sexually?
Kitsap County Confidential Sexually refers to confidential information related to sexually transmitted diseases in Kitsap County.
Who is required to file kitsap county confidential sexually?
Healthcare providers and entities that diagnose or treat sexually transmitted diseases in Kitsap County are required to file Kitsap County Confidential Sexually.
How to fill out kitsap county confidential sexually?
Kitsap County Confidential Sexually can be filled out online through the designated reporting system provided by the public health department.
What is the purpose of kitsap county confidential sexually?
The purpose of Kitsap County Confidential Sexually is to track and monitor the prevalence of sexually transmitted diseases in the county, as well as to inform public health interventions.
What information must be reported on kitsap county confidential sexually?
Information such as patient demographics, diagnosis, treatment provided, and any follow-up plans must be reported on Kitsap County Confidential Sexually.
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