Department of Public Health

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

Forms & Documents

Browse all Department of Public Health government forms

341 - 360 of 534 forms

Form Title Topics
Matrix 4F - Air Balancing Life Safety And Construction - Hospital Licensure, Life Safety And Construction - Hospital Licensure
Matrix 4F - Air Balancing Life Safety And Construction Nursing Home Licensure
Medical Cannabis Caregiver Application Instructions Medical Cannabis Patient Application
Medical Cannabis Dispensary Selection Form School Health Program
Medical Cannabis Physician Written Certification Out-Patient Physical Therapy/Speech Pathology
Medical Cannabis Qualifying Minor Patient Application Instructions Medical Cannabis Minor Qualifying Patients
Medical Cannabis Qualifying Patient Application Medical Cannabis Patient Application
Medical Cannabis Qualifying Patient Application Instructions Medical Cannabis Patient Application
Medical Cannabis Registry Card Change of Information Form Change Your Application Information Medical Cannabis, Certificate Of Free Sale
Medical Cannabis Terminal Illness Application Terminal Illness
Medical Cannabis Terminal Illness Application Instructions Terminal Illness
Medical Childhood Lead Risk Questionnaire Lead Testing And Case Management
Medicare Intermediary Information Ambulatory Surgical Treatment Centers
Medicare Intermediary Information Hospitals
Medicare Intermediary Information Home Health Agencies
Medicare Intermediary Information End Stage Renal Dialysis
Medicare Intermediary Information Rural Health Centers
Medicare Intermediary Information Hospice
Medicare Intermediary Information Out-Patient Physical Therapy/Speech Pathology
Medicare Intermediary Information Comprehensive Outpatient Rehabilitation Facilities

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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