General Forms
DCHD Job Application Douglas County Medical Reserve Corps ApplicationHIPAA Forms
Authorization for Release of Medical Information
Nursing Forms
Children’s Flu Vaccination Consent Form – English Adult Flu Vaccination Consent Form – English Children’s Flu Vaccination Consent Form – Spanish Adult Flu Vaccination Consent Form – Spanish Influenza Vaccine VIS
Dental Forms
Dental Registration Form
Environmental Forms
Septic Form Plan Review Application Temporary Food Permit Cottage Food Registration Form (PDF) Food Safety Plan (PDF) Cottage Food Self-Checklist (PDF)
COVID-19 Vaccine Forms
Johnson & Johnson Consent Form Johnson & Johnson EUA
Moderna Consent Form – English Moderna EUA – English Moderna Consent Form – Spanish Moderna EUA – Spanish
Pfizer Consent Form – English Pfizer Fact Sheet – English Pfizer Consent Form – Spanish Pfizer Fact Sheet – Spanish