Form Center

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Public Use Forms

  1. 2019 Community Health Needs Assessment (CHNA) and 2020-2022 Community Health Improvement Plan (CHIP) Feedback Form

    Complete this form to provide feedback for the 2019 Community Health Needs Assessment (CHNA) and the 2020-2022 Community Health... More…

  2. Cottage Food Operation Registration

    Complete this form to register as a Cottage Food Operation.

  3. Public Health Complaint Form
  4. Request Us at Your Health Fair or Community Event

    Complete this form to request us at your health fair or community event.

  5. Submit a Smoking Complaint

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

  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 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…