Clinical Services Forms

Vaccination Forms

• Records Release for Self or Child

• Authorization to Consent for Treatment

HIPPA Forms

• Consent for Service, Finacial Responsibility, and Privacy Practices

 

Enviornmental Health 2024 Fee Schedule

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Food Forms

Licensing

• Final Approval Sign Off Sheet

• 2024 Food Facility Planning Application

• 2024 Micro Market Planning Application

• 2024 Mobile Food Requirements

• 2024 Temp Requirements and Application

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Food Safety Training

• 2024 Food Safety Training Fees and Info

• 2024 HANCOCK COUNTY MANAGER CERTIFICATION IN FOOD TRAINING

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Private Water & Sewage

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Sewage

• 2024 Licensed Septage Haulers

• 2024 Sewage System Designers & Soil Scientists

• 2024 Licensed Sewage Treatment and Disposal Installers

• 2024 Sewage Inspectors

• 2024 Septic Registration

Private Water

• Well Permit Application

Plumbing Forms

• Plumbing Permit

• 2024 Plumbing Registration

• 2024 Registered Plumbers

• Plumbing Regulation 

Solid Waste Forms

• Hauler Registration Form

Animal Bite Investigations

• Tick Identification Submission Form

• Animal Bite Form​

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General Forms

Speaker Request Form