Department of Health

State of Pennsylvania

Official Website: https://www.health.pa.gov/

Forms & Documents

Browse all Department of Health government forms

61 - 80 of 107 forms

Form Title Topics
May-June 2022 Immunization Newsletter
Medical Certification Worksheet
Medical Professional User Account Request for PA's Electronic Death Registration System
MIS fillableCRF
Multi-year Birth Application
Multi-year Death Application
Name Redaction Request
November-December 2022 Immunization Newsletter
PA DOH School Dental Health Record
PA Provider Referral Form draft without signature line
Password Agreement Form
Pennsylvania Division of Immunizations Provider Enrollment
Pennsylvania Non-Opioid Directive
Pennsylvania Synar Survey
Permit Replacement Form
PHYSICAL EXAM form 2012
Private_Club_Exception_Form
Private Dentist Report of Dental Examination of a Pupil of School Age
Public Bathing Place Monthly Records
Recording Vaccine Temperatures

Contact Information & Office Locations

1 contact point

Health and Welfare Building

Address:
625 Forster Street
8th Floor West
Harrisburg, PA 17120

Phone numbers:
  • (877) 724-3258

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