Forms & Documents

Browse all Health Education government forms

21 - 40 of 42 forms

Form Title Topics
Employment Verification Form (19B) SPA
Encounters Correction Form
Equipment Inventory Log Form
Fee for Service Budget Form I.B
Fee for Service Hybrid Budget Form I.C
Final Financial Report (FFR) Form
Gas Card Contact Form
HARRIS COUNTY PUBLIC HEALTH (HCPH)
HARRIS COUNTY PUBLIC HEALTH (HCPH) Epidemiology Data Request Instructions
Outreach Other Allowable Activities Log
Outreach Roster
Request for Budget Revision Form
Request for Conference Attendance Form
Request for Equipment Purchase Form
Request for LPAP Formulary Addition
Request for MNT Formulary Addition
Request for Service Category Increase
Request for Van Transportation Medical Statement
Request for Waiver Form
Service Utilization Report (SUR) Non-CPCDMS Form

Contact Information & Office Locations

1 contact point

Harris County Public Health

Address:
Office of Communications, Education and Engagement
2223 West Loop South
Houston, TX 77027

Phone numbers:
  • (713) 439-6911
Hours of operation:
  • Monday to Friday, 8:00 AM - 5:00 PM

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