How to use or fill out 2013 WA DOH 347-102 - Thurston County with DocHub
- Click ‘Get Form’ to open the 2013 WA DOH 347-102 in our editor.
- Begin by filling out the 'Patient Information' section. Enter the patient's last name, first name, address, city, state, zip code, date of birth, sex, and ethnicity. Ensure all fields are completed accurately.
- In the 'Diagnosis – Disease' section, select the appropriate diagnosis by checking only one box for Gonorrhea, Syphilis, Chlamydia Trachomatis, or Herpes Simplex. Fill in any additional details as required.
- Complete the 'Partner Management Plan' by selecting a method for ensuring partner treatment. Indicate how many partners will be treated and provide necessary details.
- Finally, fill out the 'Reporting Clinic Information' section with facility name, address, diagnosing clinician's name, and contact information before saving your changes.
Start using our platform today to easily complete and submit your forms for free!
It's free
See more 2013 WA DOH 347-102 - Thurston County versions
Got questions?
How can I sign my 2013 WA DOH 347-102 - Thurston County online?
Log in to your DocHub account and add your 2013 WA DOH 347-102 - Thurston County to our editor using one of its upload options - from your device, cloud storage, secure URL, or your DocHub folders if you have already managed your form before. Open our editor, click the Sign button in the top toolbar, and choose your signing method. You can use an image of your handwritten signature, draw it, type in your name, or utilize a QR code instead.
How do you get 2013 WA DOH 347-102 - Thurston County?
You can find the latest and most relevant version of the 2013 WA DOH 347-102 - Thurston County in our DocHub forms library. Browse it by categories or use the search field to locate the exact template that suits your situation. You may open this form for editing once you find it.
What does the Washington state Department of health do?
How do I request records in Thurston County?
Security and compliance
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
Learn more