Department of Public Health Forms and Office Locations – Government Agency in Illinois

441 - 460 of 534 forms

Form Title	Topics
Plumber Application Child Support Certification	Plumbing
Plumber's License: Application for Reciprocity for the City of Chicago Licensees	Plumbing
Plumbing Contractors: Affidavit of No Employees	Plumbing
Plumbing Contractors: Application for Registration	Plumbing
Plumbing Contractors: Corporation Surety Bond Form	Plumbing
Plumbing Contractors: Limited Liability Company Surety Bond Form	Plumbing
Plumbing Contractors: Partnership Surety Bond Form	Plumbing
Plumbing Contractors: Sole Proprietor Surety Bond Form	Plumbing
Podiatric Scholarship Program Application	Plumbing
Portable X-Ray Medicare Certification	Portable X-Ray
Post Clinical Laboratory Survey Questionnaire	Clinical Laboratory Improvement Amendments
Postsurgical Recovery Care Center Renewal Application	Alternative Health Care Delivery
Power of Attorney for Health Care	Advance Directives
Power of Attorney for Health Care (Spanish	Advance Directives
Practitioner Orders For Life-Sustaining Treatment (POLST) Form	Advance Directives
Practitioner Orders For Life-Sustaining Treatment (POLST) Form (Spanish	Advance Directives
Pregnancy Termination Facility License Application	Pregnancy Termination Facilities
Pregnancy Termination Facility License Renewal Application	Pregnancy Termination Facilities
Prenatal-risk Evaluation for Lead Exposure and Guidelines	Lead Testing And Case Management
Prior Authorization for atovaquone (Mepron	Ryan White Care And Hopwa Services, Ryan White CARE And HOPWA Services

All 3 contact points

IDPH

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

Phone numbers:

IDPH

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

Phone numbers:

IDPH

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

Phone numbers:

Department of Public Health