Department of Public Health

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

Forms & Documents

Browse all Department of Public Health government forms

461 - 480 of 534 forms

Form Title Topics
Prior Authorization for enfuvirtide (Fuzeon Ryan White Care And Hopwa Services, Ryan White CARE And HOPWA Services
Prior Authorization for Hepatitis C Ryan White Care And Hopwa Services, Ryan White CARE And HOPWA Services
Prior Authorization for valganciclovir hydrochloride (Valcyte Ryan White Care And Hopwa Services, Ryan White CARE And HOPWA Services
Private Sewage Disposal System Evaluation Form Private Sewage Disposal
Project Manager's Report Form Asbestos Abatement
Proof of School Dental Examination Form Oral Health
Provider Agreement I-CARE (Immunization Records), I-CARE (Immunization Records)
Public Health Nurse Home Lead Assessment Form Lead Testing And Case Management
Questionnaire Phase 8 Adult 2016-2018 Prams, PRAMS
Rabies Submission Form Clinical Testing
Reciprocity License: Application Packet Hearing Instrument Consumer Protection Program
Registration Forms Instructions Adoption Registry
Renewal Application for Manufactured Home Installer License Manufactured And Modular Homes/Mobile Structures
Report of Blood Lead Test Result Lead Testing And Case Management
Request for Access to Laboratory Test Results Clinical Testing
Request for a Non-Certified Copy of Original Birth Certificate Adoption Registry
Request for a Non-Certified Copy of Original Birth Certificate Adoption
Request for Duplicate License Plumbing
Request for Laboratory Certification for Microbiological Analysis of Public Water Supplies and Their Sources Environmental Water Lab Certification
Request for Manufactured Home Installation Seals and Certificates Manufactured And Modular Homes/Mobile Structures

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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