Department of Public Health

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

Forms & Documents

Browse all Department of Public Health government forms

101 - 120 of 534 forms

Form Title Topics
Children's Community-Based Health Care Center Renewal Application Alternative Health Care Delivery
Civil Money Penalty Funds Request Form Nursing Homes
Clia Certificate Type Change Clinical Laboratory Improvement Amendments
CLIA Payment Instructions Clinical Laboratory Improvement Amendments
Clinical Supplies Test Requisition Form Clinical Testing
CMS-116 CLIA Application Clinical Laboratory Improvement Amendments
Commercial Structural Pest Control Business License Application Structural Pest Control
Communicable Diseases Laboratory Test Requisition Clinical Testing
Community-Based Residential Rehabilitation Initial Application Alternative Health Care Delivery
Community-Based Residential Rehabilitation Renewal Application Alternative Health Care Delivery
Complaint Form and Instructions Clinical Laboratory Improvement Amendments
Comprehensive Outpatient Rehab Facility Medicare Certification Comprehensive Outpatient Rehabilitation Facilities
Construction Award Form Life Safety and Construction - ASTC Licensure, Life Safety and Construction - ASTC Licensure
Construction Award Form Life Safety And Construction - Hospital Licensure, Life Safety And Construction - Hospital Licensure
Construction Award Form Life Safety And Construction Nursing Home Licensure
Cornerstone Informed Consent Form Ibccp, IBCCP
Court Ordered Questions Complaints
Daily Operational Report Swimming Facilities
Data Request Form Death Records
Declaration for Mental Health Treatment Form Advance Directives

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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