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Forms and Documents

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Administration

  • Fee For Service Schedule
  • Federal Poverty Guidelines
  • HIPAA Notice of Privacy Practices
  • HIPAA Website Privacy Statement
  • History Of The Fulton County Health Department
  • ICARE - 501 (c)(3)
  • Release Of Protected Health Information Form
  • Dental Center

  • New Dental Patient Regiration Form
  • Dental Patient Responsibility Form
  • Dental Patient Medical History Form
  • Fulton County Dental Cernter Flyer
  • Vital Records

  • Fee For Service Schedule
  • Application For Search Of Death Record Form
  • Application for Search Of Birth Record Form
  • Environmental Health

  • Fee For Service Schedule
  • Abandoned Water Well Application Form
  • Application For Septic and Well Evaluation Form
  • Application For Sewage Permit Form
  • Application For Temporary Food Permit Form
  • Guideline For Selling Baked Goods
  • Plat Review Application Form
  • Health Services

  • Fee For Service Schedule
  • HIPAA Notice Of Privacy Practices
  • Release Of Protected Health Information Form
  • Special WIC Food Instrument Application Form
  • WIC Income Guidelines (07/1/09)
  • Guide to Services of the Health Department Pamplet
  • Guide to Community Service in Fulton County
  • Annual Reports

  • 2011 Annual Report
  • 2010 Annual Report
  • 2009 Annual Report
  • Board of Health

  • Meeting Dates
  • Meeting Agendas
  • Meeting Minutes
  • Sub Offices    |     Forms & Documents     |     Links     |     Contact Us

    Canton Office
    700 East Oak Street
    Phone: 309-647-1134

    Astoria Office
    Astoria Illinois 61501
    Phone: 309-329-2922

    Cuba Office
    Cuba llinois 61427
    Phone: 309-785-5300