Department of Public Health

Official Website: http://dph.illinois.gov

Forms & Documents

Browse all Department of Public Health government forms

21 - 40 of 534 forms

Form Title Topics
Appendix D: Request for Waiver of Authorization for Use or Disclosure of Identifiable Records or Protected Health Information Institutional Review Board
Appendix E: Request for Expedited Review of Research Institutional Review Board
Appendix F: Study Amendment Request Institutional Review Board
Appendix G: Progress Report Institutional Review Board
Appendix H: Unanticipated Problems and/or Adverse Events Institutional Review Board
Appendix I: Final Study/Closure Report Institutional Review Board
Application Institutional Review Board
Application for a Designated Caregiver Registry Identification Card Medical Cannabis Patient Application
Application for Campground Construction Permit Campgrounds And Youth Camps
Application for Continuing Education Sponsor Form Private Sewage Disposal
Application for Gender Reassignment Forms Freedom Of Information Act
Application for Health Benefits for Persons with Breast or Cervical Cancer Ibccp, IBCCP
Application for Licensed Water Well Contractor's Closed Loop Well Certification Private Water And Closed Loop Wells
Application for Manufactured Home Community Manufactured And Modular Homes/Mobile Structures
Application for Manufactured Home Manufacturer License Manufactured And Modular Homes/Mobile Structures
Application for Original Campground License Campgrounds And Youth Camps
Application for Original Youth Camp License Campgrounds And Youth Camps
Application for Permit to Construct, Modify or Abandon a Water Well Private Water And Closed Loop Wells
Application for Permit to Construct, Modify or Seal a Closed Loop Well System Private Water And Closed Loop Wells
Application for Portable Sanitation Business License Form Private Sewage Disposal

Contact Information & Office Locations

All 3 contact points

Chicago Headquarters Offices

IDPH

Address:
122 S. Michigan Avenue
7th and 20th Floors
Chicago, IL 60603

Phone numbers:
  • (312) 814-2793

Chicago Headquarters Offices

IDPH

Address:
69 W. Washington Street
35th Floor
Chicago, IL 60602

Phone numbers:
  • (312) 814-5278

Springfield Headquarters Office

IDPH

Address:
525-535 West Jefferson Street
Springfield, IL 62761

Phone numbers:
  • (217) 782-4977

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