Public Health Templates

This document is a checklist for requesting N-Focus access to Public Health, Development Disabilities, and Operations in Nebraska. It provides step-by-step instructions and requirements for gaining access to these systems.

This document discusses the response of the Trump Administration to the Opioids Crisis. It provides information on the actions taken to address the crisis and combat the opioid epidemic in the United States.

This form is used for submitting bacterial samples in Manitoba, Canada. It helps in documenting and tracking the samples for analysis and research purposes.

This document is an annual report for the Cross Connection Control program in Utah. It contains information about the program's activities and results from the past year.

This form is used by agencies in Alabama to request naloxone, a medication that can reverse opioid overdoses.

This form is used for reporting birth defects to the Utah Birth Defect Network in Utah.

This document provides a staff screening tool for identifying potential cases of Covid-19 among employees. It helps organizations assess the health status of their staff and take necessary precautions to prevent the spread of the virus.

This form is used for reporting cases of canine brucellosis in Colorado.

This document is used for reporting cases of reportable diseases in the state of Colorado.

This document is an application for the Healthy Children Initiative in Nunavut, Canada. It is used to apply for funding and support for programs and initiatives aimed at promoting the health and well-being of children in the region.

This document provides feedback and opinions collected during public consultations on the Public Health Act in Nunavut, Canada.

This form is used for conducting interviews with individuals seeking syringe services in New Mexico.

This document is used for applying for a health permit in the state of Nevada. It is required for businesses that handle food or provide health-related services to ensure compliance with health and safety regulations.

This document highlights the efforts to improve oral health for all Americans in the year 2016.

This form is used for requesting requisition of bioterrorism specimens in Washington state.

This form is used for documenting the first use of Medicaid benefits in the state of Washington. It is available in English and Cambodian languages.

This document outlines the reporting requirements for coroners in the state of California. It specifies the information that coroners must provide and the deadlines for reporting.

This form is used for conducting accredited area surveillance for tuberculosis.

This form is used for conducting investigations for evidence of tuberculosis in exposed animals.

This Form is used for reporting cases of the novel coronavirus (COVID-19) in the state of Illinois.

This document provides an operational evaluation report for a consecutive drinking water system in Georgia, United States, in relation to the Stage 2 Disinfectants and Disinfection Byproducts Rule. It assesses the system's compliance with regulations on disinfectants and the presence of byproducts in the drinking water supply.

This document provides instructions and guidelines for collecting a water sample in Indiana to test for fluoride levels.

This type of document provides counseling services for individuals in Iowa who have been exposed to a potential risk of HIV or other sexually transmitted infections.

This document outlines the protocol for managing infectious diseases in the state of Iowa. It provides guidelines and procedures to help prevent the spread of diseases and protect public health.

This Form is used for reporting drinking water emergencies in Michigan.

This document provides a suggested format for reviewing and developing a local ordinance in Michigan to limit or prohibit the use of contaminated groundwater. It outlines the necessary contents and steps to take for implementing such an ordinance.

This form is used for reporting pediatric HIV/AIDS cases in Michigan. It is a confidential case report form.

This document outlines the process of obtaining a permit to operate a public water system in the state of Nevada. It provides information on the requirements and steps involved in obtaining the necessary permits.

This document provides instructions for sampling lead and copper levels in drinking water in New Hampshire.

This document is used to outline the Covid-19 protocols, and it serves as an acknowledgment and waiver for residents in New Mexico.