Douglas County Health Department
Douglas County Health Department
1250 E US 36 Highway | Tuscola, Illinois 61953
(217) 253-4137
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Medical & Dental Forms, Applications, and Surveys

Forms and Applications and Policies

√  Current Community Surveys for Douglas County, Illinois

DCHD Job Application

DCHD_MRC_APPLICATION

Immunization Forms

New Flu Consent Form

Child Flu Consent Form 2018

Info Release

Communication Consent

Questionnaire

downloadVFC – Vaccinations for Children Program

downloadDental Registration Forms

Dental Exam Form

downloadTemporary Food Permit

HIPAA Consent Forms

HIPAA Policy

downloadSeptic

downloadPlan Reviews

School/Sports Physical Exam Form

School Dental Exam Form

 GoodLifeFair_Registration_2019

 

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