Forms & Documents

Browse all Department of Health forms

1 - 20 of 278 documents

Form Title Tags
Abortion Informed Consent Certification
Administration or Director of Nursing Change
Administrative Staff IDRS User Agreement
Adoption Matching Program: Birth Parent Nonrelease
Adult HIV / AIDS Confidential Case Report
Adult Immunization Provider Profile and Agreement
Adult Vaccine Order and Report
Agreement for Release of Data Containing Confidential Information
Agreement for Release of Vital Statistics Data Tapes Containing Confidential Information
Algal Bloom Notification
Annual Birthing Center Report
Annual Calibration Summary
Annual Report of Comprehensive Long Term Care Facility
Application and Agreement for Farmers' Market Nutrition Program (FMNP) Indiana Farmers' Market
Application and Agreement for Farmers to Participate in the WIC Farmers Market Nutrition Program (FMNP
Application and Claim for Biologicals
Application Checksheet for Lead Contractor
Application for Agricultural Labor Camp Permit
Application for Approval of Radiology Program
Application for Approval of the Dining Assistant Program

Contact Information & Office Locations

All 4 contact points

Center for Deaf and Hard of Hearing Education (CDHHE)

1200 E. 42nd St
Indianapolis, IN 46205

Phone numbers:
  • (855) 875-5193 (Toll Free)
  • (317) 750-0246 (TEXT ONLY Number)
  • (317) 520-3301 (Main Videophone)


2 N. Meridian St.
Indianapolis, IN 46204

Phone numbers:
  • (800) 382-9480 (toll free)
  • (877) 826-0011 (codiv 19)
Hours of operation:
  • M-F 8:15 a.m. to 4:45 p.m.

Indiana Government Center North Offices

Indiana Government Center North
100 N. Senate Ave.
Room N 855
Indianapolis, IN 46204

Phone numbers:
  • (317) 233-7173 (Environmental Public Health)
  • (317) 234-8569 (Food Protection Program)

State Laboratories

550 W. 16th St.
Suite B
Indianapolis, IN 46202

Phone numbers:
  • (317) 921-5500
Hours of operation:
  • M-F 8:15 a.m. to 4:45 p.m.

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