Department of Public Health

Official Website: http://dph.illinois.gov

Forms & Documents

Browse all Department of Public Health government forms

181 - 200 of 534 forms

Form Title Topics
Fetal Death Disposition Notification Form (For Hospital Use Only Death Records
Fillable Request Form & Instructions Certificate Of Free Sale
Fillable Template With Invoice Number Certificate Of Free Sale
Fingerprint Background Patient Form Medical Cannabis Minor Qualifying Patients
Foreign Nurse Application Health Care Worker Registry
Free Standing Emergency Center License Application Free Standing Emergency Centers
Free Standing Emergency Center License Renewal Application Free Standing Emergency Centers
Gestational Surrogate Surrogacy
Gestational Surrogate's Husband/Civil Union Partner Surrogacy
Grade A Milk Laboratory Evaluation Request and Agreement Environmental Milk Lab Certification
HAB Animal Illness Report Form HAB, HAB
HAB Human Illness Report Form HAB, HAB
Healthcare Facilities Complaint Form Complaints
Healthcare Facilities Complaint Form Community Mental Health Centers
Healthcare Facilities Complaint Form Portable X-Ray
Healthcare Facilities Complaint Form Home Nursing Agencies
Healthcare Facilities Complaint Form Home Services Agencies
Healthcare Facilities Complaint Form Pregnancy Termination Facilities
Healthcare Facilities Complaint Form Out-Patient Physical Therapy/Speech Pathology
Healthcare Facilities Complaint Form Rural Health Centers

Contact Information & Office Locations

All 3 contact points

Chicago Headquarters Offices

IDPH

Address:
122 S. Michigan Avenue
7th and 20th Floors
Chicago, IL 60603

Phone numbers:
  • (312) 814-2793

Chicago Headquarters Offices

IDPH

Address:
69 W. Washington Street
35th Floor
Chicago, IL 60602

Phone numbers:
  • (312) 814-5278

Springfield Headquarters Office

IDPH

Address:
525-535 West Jefferson Street
Springfield, IL 62761

Phone numbers:
  • (217) 782-4977

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