Department of Public Health Forms and Office Locations – Government Agency in Alabama

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

All 2 contact points

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

Phone numbers:

EAST CENTRAL DISTRICT

Address:
219 N. Court St
Prattville, AL 36067

Phone numbers:

Fax numbers:

Department of Public Health