WA DOH 347-102 - Thurston County 2013 free printable template
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FAX Page 1 To: Thurston County Public Health Attn. Phone Nguyen, 360-867-2601 (Confidential FAX Line) Adapted from WA DOH Form 347-102 CONFIDENTIAL SEXUALLY TRANSMITTED DISEASE CASE REPORT STDs within
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How to fill out WA DOH 347-102 - Thurston County
01
Obtain a copy of the WA DOH 347-102 form from the Thurston County website or local health department.
02
Read the instructions carefully provided at the top of the form.
03
Fill in your personal information in the designated sections: name, address, and contact details.
04
Provide information about the health concern or condition relevant to the form.
05
Include any necessary medical history or treatment information as requested on the form.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form at the bottom.
08
Submit the form to the appropriate department or agency in Thurston County as indicated in the instructions.
Who needs WA DOH 347-102 - Thurston County?
01
Individuals residing in Thurston County who need to report a health concern or apply for a health-related service.
02
Healthcare providers or professionals who are required to submit health-related information on behalf of their patients.
03
Those applying for certain public health services that necessitate the completion of this form.
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What is WA DOH 347-102 - Thurston County?
WA DOH 347-102 is a specific form used in Thurston County, Washington, typically related to public health reporting or data collection.
Who is required to file WA DOH 347-102 - Thurston County?
Individuals or entities involved in public health activities or data reporting in Thurston County may be required to file WA DOH 347-102.
How to fill out WA DOH 347-102 - Thurston County?
To fill out WA DOH 347-102, gather the necessary information as provided by the form's instructions, and ensure all required fields are completed before submitting.
What is the purpose of WA DOH 347-102 - Thurston County?
The purpose of WA DOH 347-102 is to collect important health-related information for monitoring public health and ensuring compliance with state regulations.
What information must be reported on WA DOH 347-102 - Thurston County?
The information that must be reported on WA DOH 347-102 typically includes data related to health events, patient details, and any relevant public health metrics as specified by the form.
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