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

121 - 140 of 195 forms

Form Title	Topics
Lead Hazard Reduction Contractor Certification Rules	Madison County
Lead Renovator or Sampling Technician Application	Lead Certification
Lead Safety During Renovation	Lead Certification
Madison County Health Department Patient Rights	Madison County
Mammography Voucher	ABCCEDP, ABCCEDP
Marking scrap metal	Radiation
Marking waste	Radiation
Medicaid Familias de Bajos Ingresos de Aplicacion	Madison County
Medicaid for Low-Income Families Application	Madison County
Medical Misadministration Report	Radiation
Medicare Prescription Drug Coverage	Madison County
Med-It Website Enrollment Instructions	ABCCEDP, ABCCEDP
Notice of Where Copies of Documents May be Found	Radiation
Notice to Employees	Radiation
Obtaining Pre-Adoption and Other Birth Certificates from Alabama Sealed Files	Vital Records
Occupational Exposure Record for a Monitoring Period	Radiation
Order Form for Keepsake Birth Certificate	Vital Records
Order Form for Old Vital Record Indexes Available on Microfilm	Vital Records
Patient Data Confidentiality and Remote Access Agreement	Compliance And Ethics
Pool Water Disinfection Fact Sheet for Pool Staff/Owners	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