(1) For each condition listed in Table HC-1, health care providers must provide the following information for each case or suspected case:
(a) Name;
(b) Address;
(c) Telephone number;
(d) Date of birth;
(e) Sex;
(f) Diagnosis or suspected diagnosis of disease or condition;
(g) Pertinent laboratory data, if available;
(h) Name and address or telephone number of the principal health care provider;
(i) Name and address or telephone number of the person providing the report; and
(j) Other information as the department may require on forms generated by the department.
(2) The local health officer or state health officer may require other information of epidemiological or public health value.
[Statutory Authority: RCW 43.20.050, 43.70.545, 70.24.125, 70.28.010 and 70.104.030. 00-23-120, § 246-101-115, filed 11/22/00, effective 12/23/00.]