California Department of Public Health Forms

This form is used for applying for a Radiologic Technologist Fluoroscopy Permit in California. The exam is not required for this permit application.

This form is used for registering radiation machines in the state of California. It is necessary to complete this document in order to comply with state regulations and ensure the safe use of radiation equipment.

This form is used for certifying the eligibility of a justice-involved client in California.

This form is used for requesting the newborn screening hemoglobin results in the state of California.

This form is used for tracking and managing equipment funded by the California Department of Public Health (CDPH). It helps organizations keep inventory records and document the disposition of CDPH-funded equipment.

This document is for monitoring adherence to source control and respiratory hygiene in healthcare settings in California to prevent healthcare-associated infections.

This document provides a checklist for shopping malls, destination shopping centers, strip and outlet malls, and swap meets in California to ensure compliance with COVID-19 safety measures during the pandemic.

This form is used to record temperatures in Celsius for refrigerators and freezers in California.

This document provides guidelines for conducting real estate transactions in California during the Covid-19 pandemic. It outlines safety measures and protocols to help ensure the health and well-being of buyers, sellers, and real estate professionals.

This form is used for applying for a certificate of record for a divorce in California. It is available in both English and Spanish.

This Form is used for reporting confidential health information in California. It is specifically for reporting cases of contagious or infectious diseases to the California Department of Public Health.

This checklist is used for funding applications in California. It helps ensure that all necessary documents and information are included in the application.

This type of document certifies the methodology used to calculate indirect cost rates for organizations in California.

This document is used for attesting compliance with requirements for enhanced reimbursement for skilled medical personnel and their support staff in California.

This document provides a checklist of acceptable supporting documentation for the AIDS Drug Assistance Program (ADAP) in California. It outlines the necessary documents that individuals need to submit in order to qualify for the program and receive assistance for their HIV/AIDS medications.

This form is used for tracking post-COVID symptoms in California residents. It helps individuals keep a record of their symptoms and monitor their recovery process.

This form is used for tracking prenatal weight gain in California. It provides a grid to determine if a pregnant woman falls within the overweight range for weight gain during pregnancy.