Available forms listed by department in alphabetical order
Expedite your visit. All new clients need to complete this form for Clinic, Dental, Family Health or Immunization Services:
Birth and Death Certificate Forms
Clinic Forms
Dental Forms
Adult Registration Form
Child Registration Form
Dental History (English)
Dental History (Spanish)
Dental Medicaid Form (English and Spanish)
Initiation of Services (English)
Initiation of Services (Spanish)
Authorization to Release Information TO Health Dept. (English)
Authorization to Release Information FROM Health Dept. (English)
Authorization to Release Information (Spanish)
Child Registration Form
Dental History (English)
Dental History (Spanish)
Dental Medicaid Form (English and Spanish)
Initiation of Services (English)
Initiation of Services (Spanish)
Authorization to Release Information TO Health Dept. (English)
Authorization to Release Information FROM Health Dept. (English)
Authorization to Release Information (Spanish)
Environmental Health Forms
Application for Biomedical Waste Production/Generation or Exemption Permit
Application for Biomedical Waste Transportation Permit
Application for Biomedical Storage Permit
Application for Biomedical Waste Treatment Permit
Application Form for Mobile Home or Recreational Vehicle Park
DH 914 - Application for Approval of Public Swimming Pool Plans
DH 916 - Application for Public Swimming Pool Operating Permit
Migrant Labor Camp Application Form DH 4082
Migrant Labor Camp Inspection Form DH 4060
New Septic Tank Permit
Repair Septic Tank Permit
Modify Existing Septic Tank Permit
Abandon Existing Septic Tank Permit
Application for Biomedical Waste Transportation Permit
Application for Biomedical Storage Permit
Application for Biomedical Waste Treatment Permit
Application Form for Mobile Home or Recreational Vehicle Park
DH 914 - Application for Approval of Public Swimming Pool Plans
DH 916 - Application for Public Swimming Pool Operating Permit
Migrant Labor Camp Application Form DH 4082
Migrant Labor Camp Inspection Form DH 4060
New Septic Tank Permit
Repair Septic Tank Permit
Modify Existing Septic Tank Permit
Abandon Existing Septic Tank Permit
Family Health Forms
Medicaid Family Planning Waiver (English)
Medicaid Family Planning Waiver (Spanish)
Medicaid Family Planning Waiver (Creole)
Medicaid Family Planning Waiver (Spanish)
Medicaid Family Planning Waiver (Creole)
Immunization Forms

