Forms & Publications

This page contains a comprehensive list of IDPH’s forms and publications organized by topic. Please browse this collection of forms and publications. If you can not find the form or publication that you are looking for, type a search term into the search tool at the top of the page.

About IDPH

Adoption

Advance Directives

Alternative Health Care Delivery

Ambulatory Surgical Treatment Centers

Asbestos Abatement

Assisted Living

ASTC Licensure

Body Art Establishments

Certificate of Free Sale

Change Your Application Information

Civil Union Records

Clinical Lab Improvement Amendments (CLIA)

Clinical Testing

Community Mental Health Centers

Comprehensive Outpatient Rehabilitation

Correct Birth Certificate

Forms - Correct a Birth Certificate

Correct Death Certificate

Forms - Correct a Death Certificate

Death Records

Discharge Data

Forms - Discharge Date

Dissolution of Civil Union Records

Dissolution of Marriage Records

Forms - Dissolution of Marriage Records

EMS Assistance, Recognition & Promotion

EMS for Children (EMSC) Program

EMS Licensing

EMS Provider and Vehicle Licensing

EMS Testing & Education

End Stage Renal Dialysis

Environmental Milk Lab Certification

Environmental Water Lab Certification

File a Complaint

Food Service Sanitation Manager Certification

Free Standing Emergency Centers

Freedom of Information Act

Gender Reassignment

Forms - Gender Reassignment

Genealogy

Harmful Algal Blooms (HABs)

Health Care Worker Registry

Health Maintenance Organizations (HMOs)

Hearing Instrument Consumer Protection Program

Home Health Agencies

Home Nursing Agencies

Home Services Agencies

Home Services/Home Nursing Placement

Hospice

Hospital Licensure

Hospitals

I-CARE (Immunization Records)

IL Breast & Cervical Cancer Program (IBCCP)

IL WISEWOMAN Program

Illinois Adoption Registry and Medical Information Exchange

Illinois National Health Service Corps State Loan Repayment Program (SLRP)

Forms - Illinois National Health Service Corps State Loan Repayment Program

Immunization

Influenza (Flu)

Institutional Review Board (IRB)

Integrated Pest Management (IPM)

J-1 Visa Waiver Program

Forms - J-1 Visa Waiver Program

Lab Emergency Procedures

Forms - Lab Emergency Procedures

Lab General Requirements

Lead Abatement/ Mitigation Licensure

Lead Education & Training

Forms - Lead Education & Training

Lead Poisoning Prevention

Forms - Lead Poisoning Prevention

Lead Testing & Case Management

Legitimation

Manufactured & Modular Homes/Mobile Structures

Marriage Records

Maternal, Child & Family Health

Medical Cannabis

Forms - Medical Cannabis

Medical Cannabis Patient Application

Migrant Labor

Forms - Migrant Labor Camps & Field Sanitation

National Interest Waiver

Forms - National Interest Waiver

Newborn Hearing

Newborn Screening Records

Non-Community Public Water Systems

Forms - Non-Community Public Water Systems

Nursing Education Scholarship Program

Nursing Home Licensure

Nursing Homes

Obtain Birth Certificate

Obtain Death Certificate

Forms - Obtain a Death Certificate

Oral Health

Out-Patient Physical Therapy/Speech Pathology

Paternity

Physician Information

Plumbing

Forms - Plumbing
PDF icon Apprentice Plumber's License Application
PDF icon Apprentice Plumber's Application Under JAC
PDF icon Apprentice Plumber: Notice of Cancellation of Employment/Supervision
PDF icon Plumber's License: Application for Examination
PDF icon Plumber's License: Examination Retake Form
PDF icon Plumber Application Child Support Certification
PDF icon Certified Plumbing Inspector: Application for Examination
PDF icon Plumber's License: Application for Reciprocity for the City of Chicago Licensees
PDF icon Retired Plumber's License Application
PDF icon Plumbing Contractors: Application for Registration
PDF icon Plumbing Contractors: Corporation Surety Bond Form
PDF icon Plumbing Contractors: Limited Liability Company Surety Bond Form
PDF icon Plumbing Contractors: Partnership Surety Bond Form
PDF icon Plumbing Contractors: Sole Proprietor Surety Bond Form
PDF icon Plumbing Contractors: Affidavit of No Employees
PDF icon Worker’s Compensation Opt-Out Form
PDF icon Irrigation Contractors: Application for Registration
PDF icon Irrigation Contractors: Application Child Support Certification
PDF icon Irrigation Contractors: Application for Registration of Irrigation Employee
PDF icon Irrigation Contractors: Test Certificate Lawn Sprinkler System
PDF icon Irrigation Contractors: Notice of Cancellation of Employment Registered Irrigation Employee
PDF icon Irrigation Contractors: Affidavit of No Employees
PDF icon Irrigation Contractors: Corporation Surety Bond Form
PDF icon Irrigation Contractors: Limited Liability Company Surety Bond Form
PDF icon Irrigation Contractors: Partnership Surety Bond Form
PDF icon Irrigation Contractors: Sole Proprietor Surety Bond Form
PDF icon Continuing Education: Application for Registration
File Continuing Education: Electronic Roster for Plumbers

Portable X-Ray

Pre-Exposure Prophylaxis (PrEP)

Pregnancy Risk Assessment Monitoring System

Pregnancy Termination Facilities

Preparing for a Doctor's Visit

Private Sewage Disposal

Private Water & Closed Loop Wells

Researchers

Forms - Researchers

Rural Health Centers

Ryan White CARE and HOPWA Services

School Health Program

Select a Medical Cannabis Dispensary

Forms - Select a Medical Cannabis Dispensary

Stroke Program

Structural Pest Control

Surrogacy

Swimming Facilities

Tanning Facilities

Tick Identification

Forms - Tick Identification

Trauma Program

Vision & Hearing

Yellow Fever Vaccination

Youth Camps & Campgrounds

Zika Virus

Abortion Statistics

About IDPH

Adoption

Advance Directives

Adverse Pregnancy Outcomes Reporting System

Allied Health Care Professional Scholarship Program

Publications - Allied Health Care Professional Scholarship Program

Alzheimer's Disease

AmeriCorps Program

Anthrax

Arthritis

Asbestos Abatement

Asthma

Bed Bugs

Bird Exclusion and Dispersal

Publications - Bird Exclusion and Dispersal
For more information: Bird Exclusion and Dispersal

Body Art Establishments

Botulism

Publications - Botulism
For more information: Botulism

Brucellosis

Publications - Brucellosis
For more information: Brucellosis

Cancer

Certificate of Free Sale

Publications - Certificate of Free Sale
For more information: Certificate of Free Sale

Childhood Lead Poisoning Surveillance

Publications - Childhood Lead Poisoning Surveillance

Chronic Diseases

Publications - Chronic Diseases
For more information: Chronic Diseases

Civil Union Records

Publications - Civil Union Records
For more information: Civil Union Records, Marriage Records

Clinical Lab Improvement Amendments (CLIA)

Common Ticks

Publications - Common Ticks
For more information: Common Ticks

Community Health Workers

CRE Campaign

Critical Congenital Heart Disease (CCHD)

Publications - Critical Congenital Heart Disease

Dairy

Dead Bird Collection

Diabetes

Disability & Health

Disability and Arthritis

Publications - Disability and Arthritis
For more information: Disability and Arthritis

Discharge Data

DNA Day

Emergency Medical Services

Publications - Emergency Medical Services
For more information: Emergency Medical Services

EMS Assistance, Recognition & Promotion

EMS for Children (EMSC) Program

EMS Testing & Education

Publications - EMS Testing and Education
For more information: EMS Testing & Education

Epidemiology

Fish Advisories

Food Safety

Food Service Sanitation Manager Certification

Publications - Food Service Sanitation Manager Certification

Freedom of Information Act

Genomics

Grants Management

Publications - Grants Management
For more information: Grants Management

Guidelines for Cleaning Up Former Methamphetamine Labs

Healthcare Provider Information

Healthy Hearts Project

Publications - Healthy Hearts Project
For more information: Healthy Hearts Project

Hearing Instrument Consumer Protection Program

Heart Disease & Stroke

HIE Use Cases

HIV Planning Group (HPG)

HIV Surveillance

HIV/AIDS

Hot Weather Resources

Publications - Hot Weather
For more information: Hot Weather Resources

How to Select a Nursing Home

I-CARE (Immunization Records)

IDPH Strategic Plan

Publications - IDPH Strategic Plan
For more information: IDPH Strategic Plan

IL Breast & Cervical Cancer Program (IBCCP)

IL State Cancer Registry

IL WISEWOMAN Program

Illinois Medical Reserve Corps

Illinois Morbidity and Mortality Bulletin

Publications - Illinois Mortality and Morbidity Bulletin

Illinois National Health Service Corps State Loan Repayment Program (SLRP)

Publications - Illinois National Health Service Corps State Loan Repayment Program

Illinois Population Data

Immunization

Indoor Air Quality and Healthy Homes

Publications - Indoor Air Quality
For more information: Indoor Air Quality and Healthy Homes

Infant Mortality

Flyer: Awareness Leads to Action
For more information: Infant Mortality

Infant Mortality Statistics

Infant Mortality Toolkit

Healthier Pregnancy Promotional Toolkit
For more information: Infant Mortality Toolkit

Infectious Disease Reporting

Publications - Infectious Disease Reporting
For more information: Infectious Disease Reporting

Influenza (Flu)

Injury & Violence Prevention

Institutional Review Board (IRB)

Integrated Pest Management (IPM)

Lab Emergency Procedures

Lead Abatement/ Mitigation Licensure

Lead Education & Training

Publications - Lead Education & Training
PDF icon Childhood Lead Poisoning
PDF icon Childhood Lead Poisoning (En Español)
PDF icon Childhood Lead Poisoning (En Français)
PDF icon Choice of Medical Management Based on Symptoms and Blood Lead Concentration (Poster)
PDF icon Get the Lead Out: Intervention
PDF icon Get the Lead Out: Intervention (En Español)
PDF icon Get the Lead Out: Prevention
PDF icon Get the Lead Out: Prevention (En Español)
PDF icon Healthy Homes: Keeping Your Home Healthy and Safe
PDF icon Healthy Homes: Keeping Your Home Healthy and Safe (Booklet Set-up)
PDF icon Housekeeping Tips to Reduce Lead Exposure
PDF icon Housekeeping Tips to Reduce Lead Exposure (En Español)
PDF icon Housekeeping Tips to Reduce Lead Exposure (En Français)
PDF icon Lead Poisoning for Health Care Providers
PDF icon Lead Testing and Case Follow-Up Guidelines for Local Health Departments
PDF icon Medical Consequences of Lead Poisoning
PDF icon Medical Consequences of Lead Poisoning (En Español)
PDF icon Medical Consequences of Lead Poisoning (En Français)
PDF icon Nutrition and Lead Poisoning
PDF icon Nutrition and Lead Poisoning (En Español)
PDF icon Nutrition and Lead Poisoning (En Français)
PDF icon Pediatric Lead Poisoning High-Risk ZIP Code Areas
PDF icon Pediatric Lead Poisoning High-Risk ZIP Code Areas (En Español)
PDF icon Pregnant Women and Lead Poisoning: How to Protect Your Unborn Child
PDF icon Pregnant Women and Lead Poisoning: How to Protect Your Unborn Child (En Español)
PDF icon Preventing and Testing for Childhood Lead Poisoning – A Reference Guide for Physicians and Health Care Providers
PDF icon Recommended Schedule for Obtaining a Confirmatory
PDF icon Sources of Childhood Lead Poisoning
PDF icon Sources of Childhood Lead Poisoning (En Español)
PDF icon Sources of Childhood Lead Poisoning (En Français)
PDF icon What You Should Know About Exposure to Lead
PDF icon What You Should Know About Exposure to Lead (En Español)
PDF icon EPA Fact Sheet - 3Ts for Reducing Lead in Drinking Water in Schools and Child Care Facilities
For more information: Lead Education & Training

Lead Poisoning Prevention

Lead Testing & Case Management

Publications - Lead Testing & Case Management
For more information: Lead Testing & Case Management

Manufactured & Modular Homes/Mobile Structures

Marriage/Divorce Statistics

Publication - Marriage/Divorce Statistics
For more information: Marriage/Divorce Statistics

Medical Cannabis

Medical Student Scholarship Program

Publications - Medical Student Scholarship Program
For more information: Medical Student Scholarship Program

Men’s Health

Publications - Men's Health
For more information: Men’s Health

Metabolic Screening

Migrant Labor

Minority Health

Multiple Sclerosis

Newborn Screening

Non-Community Public Water Systems

Nursing Education Scholarship Program

Publications - Nursing Education Scholarship Program

Nursing Homes

Obesity Prevention

Occupational Disease Registry

Oral Health

Other EMS Programs

Publications - Other EMS Programs
For more information: Other EMS Programs

Pandemic Flu

Patient Safety & Quality

Performance Management

Publications - Performance Management
For more information: Performance Management

Perinatal Regionalization

Plague

Publications - Plague
For more information: Plague

Podiatric Medicine Scholarship Program

Precious Drugs & Scary Bugs

Pregnancy Risk Assessment Monitoring System

Private Water & Closed Loop Wells

Public Health & Health Care System Preparedness

Reports and Program Statistics

Retail Food

Publications - Retail Food
For more information: Retail Food

Rural & Underserved Populations

Ryan White CARE and HOPWA Services

Publications - Ryan White CARE and HOPWA Services
For more information: Ryan White CARE and HOPWA Services

School Health Program

Serve Illinois

Sexually Transmitted Diseases

Shortage Designations

Publications - Shortage Designations
For more information: Shortage Designations

Smallpox

Stroke Program

Publications - Stoke Program
For more information: Stroke Program

Structural Pest Control

Suicide Prevention

Swimming Facilities

Tanning Facilities

Publications - Tanning Facilities
For more information: Tanning Facilities

Tobacco-Free Communities

Tularemia

Publications - Tularemia
For more information: Tularemia

Vaccines for Children Program

Publications - VFC Program
For more information: Vaccines for Children Program

Vector Control

Publications - Control of the Primary West Nile Virus Mosquito Vector
For more information: Vector Control

Vector Control & Surveillance

Publications - Vector Control & Surveillance
For more information: Vector Control & Surveillance

Viral Hepatitis

Hepatitis Resource Directory

Women's Health

Youth Camps & Campgrounds

Publications - Campgrounds and Youth Camps
For more information: Youth Camps & Campgrounds

Zika Virus