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

521 - 534 of 534 forms

Form Title	Topics
Vision: Eye Examination Report	Vision And Hearing
Vision: Eye Examination Waiver	Vision And Hearing
Vision: Re-Screening Worksheet	Vision And Hearing
Vision: Screening Worksheet	Vision And Hearing
W-9 Form	National Health Service Corps State Loan Repayment Program
Waiver Application	Health Care Worker Registry
Waiver Application Instructions	Health Care Worker Registry
Waiver for Increasing the Adequate Supply of Medical Cannabis	Out-Patient Physical Therapy/Speech Pathology
Water Microbiology Lab Evaluation Form	Environmental Water Lab Certification
Water Well Construction Report	Private Water And Closed Loop Wells
Water Well Sealing Form	Private Water And Closed Loop Wells
What to Know Before Getting a Piercing	Body Art Establishments
What to Know Before Getting a Tattoo	Body Art Establishments
WORKERS’ COMPENSATION COVERAGE OPT-OUT FORM	Plumbing

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