Health Department

Cook County, IL

Official Website: https://cookcountyhealth.org/locations/arlington-heights-health-center/

Forms & Documents

Browse all Health Department government forms

1 - 20 of 33 forms

Form Title Topics
ADULT  for Minor Informed Consent with HIPAA Authorization Form
ADULT Informed Consent with HIPPA Authorization Form
Arabic Certificate of Translation
Central IRB Guidance
Child Assent Document
Clinical Trial Requirements
Compliance Letter 2023
Consenting Non-English-Speaking Study Participants
Cook County Health HIPAA Authorization for Research
Cook County Health HIPAA Authorization for Research – Spanish
Creole Certificate of Translation
Creole Short Form Consent
English Short Form Consent
HIPAA Language Consent Form
Laboratory
Mandarin Certificate of Translation
Mandarin Short Form Consent
OIG Speaker Fees Fraud Alert Guidance
Pharmacy
Polish Certificate of Translation

Contact Information & Office Locations

1 contact point

Arlington Heights Health Center

Address:
3250 N. Arlington Heights Rd.
Suite 300
Arlington Heights, IL 60004

Phone numbers:
  • (847) 934-7969

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