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

Forms - Change Your Application Information: Medical Cannabis

Civil Union Records

Clinical Lab Improvement Amendments (CLIA)

Clinical Testing

Community Mental Health Centers

Comprehensive Outpatient Rehabilitation

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 Licensing

EMS Provider and Vehicle Licensing

EMS Testing & Education

End Stage Renal Dialysis

Environmental Milk Lab Certification

Environmental Testing

Environmental Water Lab Certification

File a Complaint

For Health Care Providers and LHDs

Forms - For Health Care Providers and LHDs

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)

Forms - Health Maintenance Organizations

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)

Identified Offenders Program

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

Lab General Requirements

Forms - Lab General Requirements

Lead Supervisory, Inspector, Risk Assessor, and Worker

Lead Testing & Case Management

Lead Training Course Providers

Legitimation

License Qualifications - Lead Abatement Contractor

Forms - Lead License Qualifications Contractor

Manufactured & Modular Homes/Mobile Structures

Marriage Records

Maternal, Child & Family Health

Medical Cannabis Patient Application

Migrant Labor

Forms - Migrant Labor Camps & Field Sanitation

Minor Qualifying Patients

Forms - Medical Cannabis Minor Qualifying Patients

National Interest Waiver

Forms - National Interest Waiver

Newborn Hearing

Newborn Screening Records

Non-Community Public Water Systems

Forms - Non-Community Public Water Systems

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 Request for Duplicate License
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

Podiatric Medicine Scholarship Program

Forms - Podiatric Medicine Scholarship Program

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

Professional Education & Training

Researchers

Forms - Researchers

Rural Health Centers

Ryan White CARE and HOPWA Services

School Health Program

Stroke Program

Structural Pest Control

Surrogacy

Swimming Facilities

Tanning Facilities

Terminal Illness

Tick Identification

Forms - Tick Identification

Trauma Program

Vision & Hearing

Workplace Health and Safety Guidance

Forms - Workplace Screening

Yellow Fever Vaccination

Youth Camps & Campgrounds

Abortion Statistics

About IDPH

Adolescent Health

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

Antimicrobial Stewardship

Arsenic in Groundwater

Publications - Arsenic in Groundwater
For more information: Arsenic in Groundwater

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

Candida auris

Carbon Monoxide

Publications - Carbon Monoxide
For more information: Carbon Monoxide

Certificate of Free Sale

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

Child Health

Childhood Lead Poisoning Surveillance

Chlamydia

Publications - Chlamydia
For more information: Chlamydia

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

Cleaning Up After Flood and Sewer Overflows

After The Flood

Clinical Lab Improvement Amendments (CLIA)

Common Ticks

Communications Materials

Community Health Workers

Community Resources to Support the Family

Publications - Community Resources to Support the Family

CRE Campaign

Critical Congenital Heart Disease (CCHD)

Publications - Critical Congenital Heart Disease

Dairy

Data and Reporting

Data and Statistics

Dead Bird Collection

Disability & Health

Disability and Arthritis

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

Discharge Data

DNA Day

E-cigarettes and Vapes

Publications - E-Cigarettes Vaping & JUULs
For more information: E-cigarettes and Vapes

Emergency Medical Services

EMS for Children (EMSC) Program

EMS Testing & Education

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

Environmental Testing

Epidemiology

Expedited Partner Therapy (EPT)

Farmers Markets

Fish Advisories

Flooding Preparedness

Publications - Flooding Preparedness
For more information: Flooding Preparedness

Food Allergy Awareness Signage

Publications - Food Safety Awareness Signage
For more information: Food Allergy Awareness Signage

For Health Care Providers and LHDs

Freedom of Information Act

Genomics

Getting to Zero

Gonorrhea

Publications - Gonorrhea
For more information: Gonorrhea

Grants Management

Publications - Grants Management
For more information: Grants Management

Guidelines for Cleaning Up Former Methamphetamine Labs

Health Care Providers

Health Care Worker Registry

Publications - Health Care Worker Registry
For more information: Health Care Worker Registry, CNA Facts

Healthcare Provider Information

Healthy Hearts Project

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

Hearing Instrument Consumer Protection Program

Heart Disease & Stroke

Hepatitis

Hepatitis A Outbreaks

HIE Use Cases

Histoplasmosis

Publications - Histoplasmosis
For more information: Histoplasmosis

HIV/AIDS

Hospitals

Hot Weather Resources

How to Select a Nursing Home

Publications - How to Select a Nursing Home
For more information: 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

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

Publications - Illinois National Health Service Corps State Loan Repayment Program

Illinois Population Data

Illinois State Trauma Registry (ISTR)

Immunization

Indoor Air Quality and Healthy Homes

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

Infant Mortality

Infant Mortality Toolkit

Healthier Pregnancy Promotional Toolkit
For more information: Infant Mortality Toolkit

Infectious Disease Reporting

Infectious Diseases

Publications - Infectious Diseases
For more information:

Influenza (Flu)

Influenza Surveillance

Publications - Influenza Surveillance
For more information: Influenza Surveillance

Injury & Violence Prevention

Institutional Review Board (IRB)

Integrated Pest Management (IPM)

Lab Emergency Procedures

Lead Abatement/ Mitigation Licensure

Lead In Water

Lead Poisoning Prevention

Lead Testing & Case Management

Legionella

Legionnaires' Disease

LGBTQ Health

Publications - LGBTQ Health
For more information: LGBTQ Health

Life Care Facilities Program

Lost or Stolen Card

Publications - Lost or Stolen Medical Cannabis Registry Card
For more information: Lost or Stolen Card

Lyme Disease

Publications - Lyme Disease
For more information: Lyme Disease

Manufactured & Modular Homes/Mobile Structures

Marriage/Divorce Statistics

Maternal Depression

Publications - Maternal Depression
For more information: Maternal Depression

Maternal Health

Medical Cannabis

Medical Student Scholarship Program

Men’s Health

Metabolic Screening

Methane in Groundwater

Publications - Methane in Groundwater
For more information: Methane in Groundwater

Migrant Labor

Minor Qualifying Patients

Publications - Minor Qualifying Patient Application
For more information: Minor Qualifying Patients

Minority Health

Multiple Sclerosis

Naloxone

Naloxone - Publications
For more information:

Neonatal Abstinence Syndrome

Newborn Hearing

Newborn Screening

Non-Community Public Water Systems

Nursing Education Scholarship Program

Publications - Nursing Education Scholarship Program

Nursing Homes

Obesity Prevention

Occupational Disease Registry

Opioid Alternative Pilot Program

Publications - Opioid Alternative Pilot Program
For more information: Opioid Alternative Pilot Program

Opioid Overdose Response

Publications - Opioid Overdose Response
For more information: Opioid Overdose Response

Opioids

Oral Health

Oral Health During Pregnancy

Publications - Oral Health During Pregnancy
For more information: Oral Health During Pregnancy

Other EMS Programs

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

PANDAS / PANS

Pandemic Flu

Patient Safety & Quality

Performance Management

Publications - Performance Management
For more information: Performance Management

Perinatal Health

Publications - Perinatal Health
For more information: Perinatal Health

Perinatal Levels of Care

Perinatal Regionalization

Plague

Publications - Plague
For more information: Plague

Podiatric Medicine Scholarship Program

Policy and Injury Prevention

Safe States Profile (Illinois)
For more information: Policy and Injury Prevention

Precious Drugs & Scary Bugs

Pregnancy and Lead

Pregnancy Risk Assessment Monitoring System

Prehospital Data Program

Publications - Prehospital Data
For more information: Prehospital Data Program

Private Water & Closed Loop Wells

Professional Education & Training

Publications - Lead Education & Training
PDF icon Keeping Kids Safe
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 IDPH Childhood Blood Lead Evaluation and Testing Recommendations
PDF icon Lead & Pregnancy
PDF icon Why is confirmatory venous testing needed?
PDF icon Infant Testing Algorithm
PDF icon Breastfeeding Algorithm
PDF icon Prenatal Risk Algorithm
PDF icon Childhood Algorithm
PDF icon Lead Testing Recommendations for Pregnancy and Breastfeeding
For more information: Professional Education & Training

Public Health & Health Care System Preparedness

Publications - Mumps

Publications - Mumps
For more information: Mumps

Reports and Program Statistics

Resource Links & News

Retail Food

Rural & Underserved Populations

Ryan White CARE and HOPWA Services

School Health Program

Serve Illinois

Sexually Transmitted Diseases (STD)

Shortage Designations

Publications - Shortage Designations
For more information: Shortage Designations

Smallpox

State of Illinois Opioid Action Plan

Stroke Program

Publications - Stroke Program
For more information: Stroke Program

Structural Pest Control

Suicide Prevention

Swimming Facilities

Synthetic Cannabinoids

Syphilis

Publications
For more information:

Tanning Facilities

Publications - Tanning Facilities
For more information: Tanning Facilities

Tobacco-Free Communities

Toxicology Program

Publications - Toxicology
For more information: Toxicology Program

Trainings and Conferences

Trauma/HSVI Registry

Treatment & Recovery

Tularemia

Publications - Tularemia
For more information: Tularemia

Vector Control

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

Vector Control & Surveillance

Women's Health

Youth Camps & Campgrounds