Alabama Department of Public Health Forms

This form is used for inspecting milk tank trucks in Alabama to ensure compliance with safety regulations.

This document is used for planning your medical care in advance, specifying your preferences and appointing a healthcare proxy to make decisions on your behalf. It is specific to the state of Alabama.

This Form is used for Medicaid recipients in Alabama who are planning to return home from a care facility. It is a statement of intent to notify the Medicaid agency of their plans.

This form is used to request forms from the Alabama Department of Public Health.

This Form is used for ordering old vital record indexes available on microfilm from the Alabama Center for Health Statistics.

This Form is used for applying for a birth, death, marriage, or divorce certificate in the state of Alabama.

This form is used for adoptive parents in Alabama to request a new birth certificate for their adopted child.

This form is used for providing information about where copies of documents can be found in the state of Alabama.

This form is used for requesting disability accommodation for the Industrial Radiography Examination in Alabama.

This document grants authorization to an agent to inspect and oversee the onsite sewage disposal system in Alabama.

This form is used for certifying engineers' knowledge and expertise in designing wastewater treatment and disposal systems in the state of Alabama. It ensures that the engineers are qualified to manage and design these systems effectively.

This form is used for collecting site evaluation data in Alabama. It is used to gather information about the condition and suitability of a particular site for various purposes.

This document is used for applicants in Alabama who are applying for a license or permit and need to declare their business ownership structure.

This Form is used for engineers to certify the fill material used in construction projects in Alabama.

This form is used for applying for a license to handle radioactive materials in the state of Alabama.

This document is for authorized users in Alabama to provide training and experience information, as well as preceptor attestation for the RM-HU(AUD) form.

This document is an addendum form for applying for the use of radioactive material in industrial radiography within the corporate structure in Alabama. It provides additional information and requirements specific to this type of application.

This Form is used for authorized nuclear pharmacists in Alabama to document their training and experience, as well as for their preceptors to attest to their qualifications.

This form is used for registering for a general license in the state of Alabama.

This form is used for requesting permission to work in Alabama under reciprocity.

This form is used for authorized medical physicists in Alabama to document their training and experience. It also requires a preceptor attestation.

This Form is used for obtaining a Certificate of Disposition of Radioactive Materials in the state of Alabama.

This Form is used for authorized user training and experience and preceptor attestation in the state of Alabama.

This Form is used for Radiation Safety Officer (RSO) training and experience documentation in Alabama, including the attestation by a preceptor.

This form is used for reporting medical misadministration incidents in the state of Alabama. It helps to document and address any errors or accidents that occur during medical procedures.

This form is used for applying for a non-medical X-ray registration in the state of Alabama.

This document is for registering radiation services for medical X-ray equipment in Alabama.

This form is used for applying for a Notice of Registration in the state of Alabama.

This form is used for applying for a Notice of Registration in the state of Alabama. It is the official document required to register and obtain legal recognition for specific activities or purposes.

This document is for registering radiation services for non-medical X-Ray equipment in the state of Alabama.

This form is used for registering radiation services as an individual in Alabama.

This document is a request for a waiver to a specific rule related to radiation control for bone densitometry x-ray units in Alabama.