Forms & Documents
Browse all Department of Public Health government forms
161 - 180 of 534 forms
| Form Title | Topics |
|---|---|
| Examination Registration | Hearing Instrument Consumer Protection Program |
| Examination Retake Form | Plumbing |
| Example Letter of Release | Clinical Laboratory Improvement Amendments |
| Extension Site Checklist | Comprehensive Outpatient Rehabilitation Facilities |
| Extension Site Checklist | Out-Patient Physical Therapy/Speech Pathology |
| Facility Identified Offender UCIA Fingerprint Consent Form | Identified Offenders |
| Facility Information Change Form | Hospice |
| Facility Information Change Form | Comprehensive Outpatient Rehabilitation Facilities |
| Facility Information Change Form | Community Mental Health Centers |
| Facility Information Change Form | Portable X-Ray |
| Facility Information Change Form | Rural Health Centers |
| Facility Information Change Form | Free Standing Emergency Centers |
| Facility Information Change Form | Home Services/Home Nursing Placement |
| Facility Information Change Form | Home Health Agencies |
| Facility Information Change Form | Home Services Agencies |
| Facility Information Change Form | Out-Patient Physical Therapy/Speech Pathology |
| Facility Information Change Form | Home Nursing Agencies |
| Facility Information Change Form | Pregnancy Termination Facilities |
| Facility Information Change Form | End Stage Renal Dialysis |
| Facility Information Change Form | Ambulatory Surgical Treatment 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
- (312) 814-2793
Chicago Headquarters Offices
IDPH
Address:
69 W. Washington Street
35th Floor
Chicago, IL 60602
- (312) 814-5278
Springfield Headquarters Office
IDPH
Address:
525-535 West Jefferson Street
Springfield, IL 62761
- (217) 782-4977