King County Public Health Forms

Listing Websites about King County Public Health Forms

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Public Health – Seattle & King County

(4 days ago) WEBLearn about Public Health - Seattle & King County, how to view public records, file a complaint, or contact the media team and Public Information Officer. Board of Health …

https://kingcounty.gov/en/dept/dph

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Contract compliance forms and other requirements - King County

(5 days ago) WEBKing County Consultant Disclosure Form for Consultant (839 KB) contracts only: this form seeks information about recent (past 24 months) contractor associations with King …

https://kingcounty.gov/en/dept/dph/about-king-county/about-public-health/working-with-public-health/contracts/contract-compliance-forms

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Environmental Health's online services portal - King County

(6 days ago) WEBChange of ownership forms. Food businesses: This can’t be done online. Fill out this Ownership changes for food businesses (445 KB) form and mail it in with payment …

https://kingcounty.gov/en/dept/dph/health-safety/environmental-health/portal

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Sunscreen authorization and log - King County, Washington

(9 days ago) WEBSunscreen Authorization Form (program-provided/bulk sunscreen) (93 KB) Foomka Oggolaanshaha Kareemka Qorraxda (Barnaamij-La bixiyay/Kareemka Qorraxda oo …

https://kingcounty.gov/en/dept/dph/health-safety/health-centers-programs-services/childrens-health/child-care-health-resources/health-forms/sunscreen

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Authorization for Use and Disclosure of Protected Health

(Just Now) WEBForm #PH-BSA 1016 (Rev. 09/2023) Health Information Management PATIENT NAME: DOB:401 5 MRN: Public Health – Seattle & King County th Ave, Suite 1220 Seattle, …

https://kingcounty.gov/en/-/media/king-county/depts/dph/documents/about-public-health/authorization-form-disclosure-of-protected-health-information.pdf?rev=1ebee42ee32543b0b02d6c4f1a57a4e4&hash=362A267985E82C43A83744032A2F1DA3

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Health forms and care plans - King County, Washington

(3 days ago) WEBMental health services Human And Social Services expand_more Eviction Prevention and Rent Assistance Program

https://cd10-prod.kingcounty.gov/so-so/dept/dph/health-safety/health-centers-programs-services/childrens-health/child-care-health-resources/health-forms/

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Forms Washington State Department of Health

(4 days ago) WEBMicrobiology Form (PDF) Microbiology Form is also used for Molecular Diagnosis/PCR. Please indicate Molecular Diagnosis/PCR on the form. Includes: Campylobacter spp., …

https://doh.wa.gov/public-health-provider-resources/public-health-laboratories/forms

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King County District 7 COVID-19 RESOURCE GUIDE

(5 days ago) WEBPublic Health – Seattle and King County urges anyone who has COVID-19 symptoms or close contact with someone who has COVID-19 be tested right away. For …

https://cdn.kingcounty.gov/-/media/vonReichbauer/documents/2021/ResourceGuide3-5.ashx

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Authorization for use and disclosure of protected health …

(2 days ago) WEBHealth Information Management. Public Health – Seattle & King County 401 5th Ave, Suite 1220 Seattle, WA 98104-1818 Phone: 206-263-9700 Fax#: 206-788 …

https://cdn.kingcounty.gov/-/media/king-county/depts/dph/documents/health-safety/medical-examiner/authorization-form-disclosure-of-protected-health-information.pdf?rev=39392d0eeb0e45f4a52f0193015e9010&hash=D804637E8E999FB555F22BA36FC2E7AA

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Restaurant inspection information - search - King County, …

(3 days ago) WEBThis website helps to educate the public about food establishment inspections in King County. Enter business name, address, city and zip code, or any combination of the …

https://info.kingcounty.gov/health/ehs/foodsafety/inspections/search.aspx

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About Environmental Health Services - King County, Washington

(8 days ago) WEBOur vision is healthy, safe, and vibrant King County communities that are free of health disparities based on race, gender or economic status. We recognize that Racism is a …

https://kingcounty.gov/en/dept/dph/health-safety/environmental-health/about-us

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King County Public Health Laboratory Supply Order Form

(7 days ago) WEBLab Test Request Forms* Biohazard bags, small (use one specimen per bag) Transport bags for routing specimens Mailing Boxes Supply Order Forms (this form)* Seattle & …

https://kingcounty.gov/ru-ru/legacy/depts/health/communicable-diseases/-/media/depts/health/communicable-diseases/documents/laboratory/supply-order-form.ashx

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Notifiable Conditions & the Health Care Provider

(1 days ago) WEBThe following conditions are notifiable to Public Health – Seattle & King County in accordance with WAC 246-101. Timeframes for notification are footnoted. Immediately …

https://cdn.kingcounty.gov/-/media/depts/health/communicable-diseases/documents/notifiable-conditions-list.ashx

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Applications, forms, and fees - King County, Washington

(4 days ago) WEB2024 King County On-site Sewage (Septic) System Program Fee Schedule, effective Jan 1, 2024 (111 Kb). Contact for septic questions. King County Septic System Program. …

https://kingcounty.gov/en/dept/dph/health-safety/environmental-health/on-site-sewage-systems/applications-permits/wastewater-applications-forms/

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Perinatal Hepatitis B Prevention Materials Washington State

(7 days ago) WEBForms. Confidential Case Report Form for Mothers and Babies (PDF) Confidential case report form for King County Cases Only (PDF) - Complete the form and fax it to …

https://doh.wa.gov/public-health-healthcare-providers/public-health-system-resources-and-services/immunization/perinatal-hepatitis-b-prevention-program/forms

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Access your Family's Immunization Information Washington State

(6 days ago) WEBOnce we receive the signed form, we will mail, fax, or securely e-mail the immunization record to you within five business days. If you have any questions, please contact us at …

https://doh.wa.gov/you-and-your-family/immunization/access-your-familys-immunization-information

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Medical Incident Report Form - King County, Washington

(6 days ago) WEBThe EMS Division collects data about each paramedic and EMT emergency medical response using a specific form called the Medical Incident Report Form (MIRF).There …

https://cd10-prod.kingcounty.gov/en/dept/dph/health-safety/health-centers-programs-services/emergency-medical-services/strategic-planning/medical-incident-report-form

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Instructions for the Public Health—Seattle & King County …

(3 days ago) WEBAbout King County expand_more Careers; Departments; Employee resources; King County TV (KCTV) Animals Instructions for the Public …

https://cd10-prod.kingcounty.gov/es-es/dept/dph/about-king-county/about-public-health/administration/records-requests/patient-records

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Child Care Health Program - King County, Washington

(Just Now) WEBAbout King County expand_more Careers; Employee resources; King County TV (KCTV) Animals Pests & Pets Health And Safety expand_more COVID-19; Environmental …

https://cd10-prod.kingcounty.gov/so-so/dept/dph/health-safety/health-centers-programs-services/childrens-health/child-care-health-resources/

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PRSRf - kingcounty.gov

(7 days ago) WEBFood Establishment Inspection Report >- Form A Public Health Seattle & King County L3 Business Name: Address General Health Recor PRSRf srator: ZIP Time In Email Office …

https://www5.kingcounty.gov/sdc/addl_doc/RestaurantInspectionKCPublicHealthFoodEstablishmentInspectionReportFormA.pdf

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Public Health — Seattle & King County Laboratory

(1 days ago) WEBSubmitter Name Submitter Address (Street, City, State, Zip Code) Patient Address (Street, City, State, Zip Code) Ordering Provider Name & NPI Date & Time Collected Patient ID …

https://cdn.kingcounty.gov/-/media/depts/health/communicable-diseases/documents/laboratory/test-order-form.ashx

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Grant Application & Capacity Building (GACB) Program - King …

(9 days ago) WEBIf your organization fits the criteria, complete the GACB Request Form or contact Reginald B. Cole at [email protected] to be connected with translation help or technical …

https://kingcounty.gov/en/legacy/depts/community-human-services/contracts/grant-application-capacity-building

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RESTRICTIVE COVENANT PUBLIC WATER SUPPLY (WELL)

(2 days ago) WEBE-Share-Forms-covenants-Restrictive 10/26/05 Return Address:_____ _____ _____ DISCLAIMER REGARDING USE OF THIS FORM This blank form is provided for …

https://cdn.kingcounty.gov/-/media/depts/health/environmental-health/documents/drinking-water/restrictive-covenant-public-water-supply-well.ashx?la=en&hash=14B280C818AC32CB24662F4B5E2F089F

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