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 347 102 2019

347 102 Doh 2019-2025 Form

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What is the 347 102?

The 347 102 form, also known as the DOH Form 347 102, is a critical document used in the state of Washington for reporting confidential disease cases. This form is specifically designed to ensure that sensitive health information is handled appropriately while complying with state regulations. It is primarily utilized by healthcare providers and organizations to report cases related to sexually transmitted infections, including but not limited to, confidential sexually transmitted diseases.

How to use the 347 102

Using the 347 102 form involves several key steps. First, healthcare providers must accurately fill out the form with the necessary patient information and details regarding the disease. It is essential to ensure that all data is complete and precise to maintain confidentiality and comply with legal requirements. Once completed, the form should be submitted to the appropriate health department office, either electronically or via mail, depending on local guidelines. Proper usage of this form aids in public health monitoring and disease prevention efforts.

Steps to complete the 347 102

Completing the 347 102 form requires careful attention to detail. Follow these steps:

  • Gather patient information, including name, date of birth, and contact details.
  • Document the specific disease being reported, ensuring accuracy in diagnosis.
  • Include any relevant clinical information that may assist in the case management.
  • Review the completed form for any errors or omissions.
  • Submit the form to the designated health authority as per state guidelines.

Legal use of the 347 102

The legal use of the 347 102 form is governed by state health regulations that mandate confidentiality and proper reporting of disease cases. Compliance with these regulations ensures that patient information is protected while allowing public health officials to track disease trends effectively. It is crucial for healthcare providers to understand their obligations under laws such as HIPAA and other relevant privacy regulations when using this form.

Key elements of the 347 102

The key elements of the 347 102 form include:

  • Patient identification details to ensure accurate reporting.
  • Specific disease classification to facilitate appropriate public health responses.
  • Clinical information that aids in understanding the context of the case.
  • Signature and date fields to validate the submission of the form.

Form Submission Methods

The 347 102 form can be submitted through various methods, depending on local health department requirements. Common submission methods include:

  • Online submission via secure health department portals.
  • Mailing a physical copy to the designated health authority.
  • In-person submission at local health department offices.

Quick guide on how to complete 347 102

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