Public Health Templates

This form is used for applying to set up a temporary testing site for COVID-19 in California.

This form is used for collecting customer information and conducting lead and copper testing of drinking water in Iowa.

This form is used for filing complaints related to environmental health issues in Nevada. It allows residents to report concerns regarding air quality, water pollution, hazardous waste, and other environmental hazards.

This document provides a checklist for individuals who are applying for a water withdrawal permit in the state of New York. It outlines the necessary steps and requirements to obtain the permit.

This document discusses the mission and public affairs council's environment working group of the Church of England, specifically focusing on shale gas and fracking.

This document outlines the procedures for using time as a public health control in Alaska. It provides guidelines on how to safely handle and store perishable food items without refrigeration for a certain period of time.

This document provides guidelines and protocols for handling highly susceptible populations in Alaska to ensure their safety and well-being. It outlines standardized operating procedures that should be followed to effectively cater to the unique needs and vulnerabilities of these populations.

This form is used for daily reporting on sanitation activities in Alaska.

This form is used for submitting exceptions related to Covid-19 in the state of Connecticut. It allows individuals to request special considerations or exemptions during the pandemic.

This form is used for requesting Covid-19 or Influenza laboratory tests in Illinois.

This document provides instructions for submitting a CWD (Chronic Wasting Disease) Submission Form in Iowa. It helps individuals understand how to properly complete and submit the form for testing deer or elk for the disease.

This form is used for reaching an agreement regarding public health emergency hearings related to Covid-19.

This document is a student agreement specific to Michigan colleges/universities related to COVID-19 protocols and safety measures.

This form is used for determining extreme vulnerability to Covid-19 in the state of Florida.

This form is used for consenting to receive the Covid-19 vaccine in the state of New Mexico.

This form is used for certifying the Consumer Confidence Report for Illinois.

This document authorizes pharmacies in North Dakota to administer immunizations.

This document is a free flyer for a Covid-19 mobile testing clinic in South Carolina.

This form is used for the monthly monitoring of tuberculosis in Oklahoma. It is used to track the progress and treatment of tuberculosis patients.

This application is used to request access to public health data in the state of Oklahoma.

This form is used for submitting rabies specimens in Oklahoma.

This form is used for requesting data related to HIV/STD services in Oklahoma. It allows individuals to submit a formal request to access specific information or statistics regarding HIV/STD prevention, testing, and treatment services in the state.

This Form is used for reporting cases of hepatitis in Oklahoma as per the requirements of the Oklahoma State Department of Health (OSDH).

This form is used for reporting cases of human infection with a new strain of influenza A virus.

This document outlines the Covid-19 screening protocols currently in place in Texas. It provides guidance on how to screen for symptoms, implement safety measures, and prevent the spread of the virus.

This document provides an outline of the recommended immunization protocol followed in South Dakota to protect individuals from vaccine-preventable diseases. It includes information about the vaccines, schedules, and guidelines for various age groups.

This form is used for reporting and investigating sudden unexpected infant deaths. It helps gather important information to determine the cause of these tragic incidents.

This document shows the highest number of daily transmissions of COVID-19 in the state of Missouri.