Get Wa Doh 346-107 2019-2026

The WA DoH 346-107 form is an essential tool for hospitals to provide information about available reproductive health services. This guide will help users fill out the form accurately and efficiently online.

Follow the steps to complete the WA DoH 346-107 form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the hospital name in the designated field to specify the institution providing the reproductive health services.
3. Next, fill in the physical address of the hospital. Include the street address, city, state, and ZIP code to ensure accurate identification.
4. In the hospital contact section, provide the primary contact person's name and ensure you include the contact phone number for inquiries about services.
5. Move on to the section listing available reproductive health services. Check the boxes next to the services that are offered at the hospital, such as abortion services, contraception services, emergency contraception services, infertility services, and pregnancy-related services.
6. If there are any limitations on services or other relevant comments, please provide this information in the designated section to offer a full understanding of service availability.
7. Finally, sign and date the form using the provided fields to validate the document. Ensure the date is formatted as mm/dd/yyyy.
8. Once all fields are filled out, users can save changes, download, print, or share the completed form as needed.

Complete your WA DoH 346-107 form online today for efficient and accurate submission.