Department of Public Health

Official Website: https://www.alabamapublichealth.gov

Forms & Documents

Browse all Department of Public Health forms

1 - 20 of 195 forms

Form Title Topics
Abatement Project Notification Lead Certification
ABCCEDP Provider Checklist ABCCEDP, ABCCEDP
ABCCEDP Sub-Contractor Form ABCCEDP, ABCCEDP
ABCCEDP W9 Form ABCCEDP, ABCCEDP
Abortion Materials Order Form Health Provider Standards
ADAP Centralized Eligibility Determination Process Madison County
ADAP Client Certification Statement Madison County
ADAP Patient Eligibility Madison County
ADPH Area Field Surveillance Staff Map Madison County
Alabama Drug Assistance Program (ADAP) Application Form Madison County
Alabama Notifiable Diseases/Conditions Madison County
Alabama Portable Physician Do Not Attempt Resuscitation (DNAR) Order EMS, EMS
ALL Kids Annual Income Guidelines Madison County
Ambulance Accident Form EMS, EMS
Amendment Acceptance Notification Form Compliance And Ethics
Amendment Package for Alabama Birth and Death Certificates Vital Records
Application for a Birth, Death, Marriage, or Divorce Certificate Vital Records
Application for a Collector Permit Madison County
Application for a Land Application Permit Madison County
Application for a Permit to Install (Repair) an Onsite Sewage Disposal System Madison County

Contact Information & Office Locations

All 2 contact points

ADPH

Address:
201 Monroe Street
The RSA Tower
Montgomery, AL 36104

Phone numbers:
  • (334) 206-5200

AUTAUGA

EAST CENTRAL DISTRICT

Address:
219 N. Court St
Prattville, AL 36067

Phone numbers:
  • (334) 361-3743
  • (334) 358-2002
Fax numbers:
  • (334) 361-3718
  • (334) 361-3806

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