California Department of Public Health Forms

This form is used for creating a Special Power of Attorney in California. It allows someone to grant specific powers to another person to act on their behalf in legal matters.

This form is used for summarizing information related to outbreaks of gastroenteritis in California. It helps gather data and provide a summary of the outbreak details.

This form is used for submitting information related to the California Rabies Strain Typing and Species Identification Project. It helps to identify and categorize the different strains of rabies found in California.

This form is used for submitting the results of a rabies examination in California.

This Form is used for applying to serve on an advisory committee in California.

This form is used for individuals in California who want to register for Phase I Training but are currently on the waiting list.

This Form is used for healthcare providers and clinicians to apply for enrollment in California's professional guidance program.

This form is used for filing a complaint in the state of California. It gathers necessary information about the complaint to be filed.

This form is used for individuals and institutions in California who wish to keep and use laboratory animals. It is an application for approval and must be completed fully and accurately.

This form is used for requesting access to personal information in California.

This form is used for requesting access to personal information by a parent, guardian, or personal representative in the state of California.

This form is used for requesting an accounting of disclosures of personal information by a parent, guardian, or personal representative in California. It helps individuals track the use and disclosure of their personal information.

This form is used for requesting information on the disclosure of personal information in the state of California.

This form is used for requesting to amend personal information in the state of California.

This document is used for requesting to amend personal information by a parent, guardian, or personal representative in the state of California.

This form is used for authorizing the use and disclosure of personal information in the state of California.

This form is used to request confidential communication in California.

This form is used for filing a privacy or HIPAA complaint in the state of California. It allows individuals to report violations of their privacy rights or the Health Insurance Portability and Accountability Act (HIPAA).

This form is used for requesting confidential communication of personal information by a parent, guardian, or personal representative in California.

This document is used for requesting a regulation notice in the state of California.

This form is used for requesting to restrict the use and disclosure of personal information by a parent, guardian, or personal representative in California.

This form is used for requesting to restrict the use and disclosure of personal information in the state of California.

This Form is used for verifying radon certification in the state of California.

This form is used for ensuring compliance with anti-entrapment device and system regulations in public pools and spas in California. It helps pool and spa owners and operators in California to document their compliance with safety standards for preventing entrapment incidents.

This form is used for requesting an exemption from continuing education requirements in the state of California.

This Form is used for registering generators of medical waste in California's Medical Waste Management Program.

This form is used for the Medical Waste Management Plan Checklist in California. It is used by healthcare facilities to ensure proper management of medical waste.

This form is used for the annual verification of medical waste transponders in California.

This Form is used for managing and documenting the trauma scene waste (TSW) by practitioners in California.

This is a form used in California for alternative medical waste treatment technologies. It is used by businesses to apply for approval to use alternative methods for treating medical waste.

This Form is used for applying for a Large Quantity Generator With Onsite Treatment Permit in California's Medical Waste Management Program. It is specifically for facilities that generate a large amount of medical waste and also have onsite treatment capabilities.

This form is used for applying for a Small Quantity Generator With Onsite Treatment Permit in the Medical Waste Management Program in California.