Form Center

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Public Use Forms

  1. 2016 Community Health Needs Assessment and Community Health Improvement Plan Feedback Form

    Complete this form to provide feedback for the 2016 Community Health Needs Assessment.

  2. Cottage Food Operation Registration

    Complete this form to register as a Cottage Food Operation.

  3. Request a Health Presentation

    Complete this form to request a health presentation at your organization.

  4. Smoke-Free Housing Directory Registry

    Complete this form to list your smoke-free property in the Smoke-Free Housing Directory.

  5. Zika Virus Disease Request for Testing

    PHYSICIAN USE ONLY Please fill out the following form to submit a request for Zika Virus Disease Testing. Please print your completed... More…

  1. Contact Us

    Let us know if you have a question, comment, or request.

  2. Foodborne & Waterborne Illness Investigation Questionnaire

    Individuals are required to provide information about their illness and eating/drinking habits as part of a foodborne illness... More…

  3. Request a Workplace or Community Flu Clinic

    Complete this form to request a community flu clinic at your organization or within your community.

  4. Submit a Smoking Complaint

    Complete this form to report a suspected Smoke-Free Illinois Act violation observed in McLean County.