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This document serves as a data users’ guide to the birth data collected by the Washington State Department of Health. It provides an overview of methodology, changes to the data collection system, and key variables relevant to the birth statistical files.
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How to fill out doh 422-160

01
Obtain the DOH 422-160 form from the official health department website or a local health office.
02
Fill out the personal information section with your name, address, contact information, and any required identification numbers.
03
Complete the health information section, providing any medical history or relevant details requested.
04
Attach any necessary supporting documents as specified in the form instructions.
05
Review all information for accuracy and completeness.
06
Sign and date the form at the designated section.
07
Submit the completed form to the appropriate health department office either by mail or in person.

Who needs doh 422-160?

01
Individuals applying for health services or programs as required by local health authorities.
02
Patients needing to document their health history for specific procedures or referrals.
03
Anyone completing health assessments for public health initiatives.
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DOH 422-160 is a form used by healthcare providers to report the immunization status of patients in the state, particularly for specific immunizations required by law.
Healthcare providers administering vaccinations, including doctors, clinics, and hospitals, are required to file DOH 422-160.
To fill out DOH 422-160, healthcare providers must provide patient information, vaccination details, and the administering provider's information, ensuring all fields are completed accurately.
The purpose of DOH 422-160 is to monitor immunization rates and ensure compliance with public health laws regarding vaccinations.
Information that must be reported includes patient name, date of birth, vaccination type, dates administered, and the provider's details.
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