Department of Public Health Forms and Office Locations – Government Agency in Alabama

41 - 60 of 195 forms

Form Title	Topics
Application for Septic Tank/Grease Trap Series Permit	Soils and Onsite Sewage
Application for Small Flow Onsite Sewage Disposal System	Madison County
Application for Temporary Concession Food Permit	Madison County
Application to Prepare a Certificate of Foreign Birth	Vital Records
Application to Register as a Servicer of Particle Accelerators (For Companies	Radiation
Application to Register as a Servicer of Particle Accelerators (Supplemental Form for Individuals	Radiation
Application - Transfer Station Permit	Madison County
Authorization for Disclosure/Request of Protected Health Information (PHI	Compliance And Ethics
Basic Facts About HIV and AIDS	Madison County
Body Art Practice and Facilities Rules	Madison County
Bone Densitometer X-Ray Waiver Request	Radiation
Breast Authorization Form	ABCCEDP, ABCCEDP
Breast Diagnostic Follow-Up Form	ABCCEDP, ABCCEDP
Business Associate Flowchart	Compliance And Ethics
Certificate of Compliance	ABCCEDP, ABCCEDP
Certification of Small Entity Status for Annual Fees	Radiation
Cervical Diagnostic Follow-Up Form	ABCCEDP, ABCCEDP
Check List for Plan Approval of Body Art Facilities	Madison County
Chest Decompression Report	EMS, EMS
Children's Policy Council Needs Assessment	Madison County

All 2 contact points

Address:
201 Monroe Street
The RSA Tower
Montgomery, AL 36104

Phone numbers:

EAST CENTRAL DISTRICT

Address:
219 N. Court St
Prattville, AL 36067

Phone numbers:

Fax numbers:

Department of Public Health