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Centegra Health System > Emergency Medical Services > IDPH Forms

IDPH Forms

McHenry Western Lake County EMS

  • New IDPH licensing process

Please see the attached letter in regards to IDPH Forms

Memo about forms available on IDPH web site 121812

Illinois Department of Public Health Forms

  • IDPH Final Strategic Plan September 2010
  • IDPH Ambulance Inspection Form Aug 2012
  • IDPH Ambulance Requirement for Pulse Ox & AED 2012
  • IDPH Child Abuse and Neglect Toolkit 2013
  • IDPH Child Support -Felony Form 2012
  • IDPH Non Transport Vehicle Inspection Form
  • IDPH Petition Form 11-12
  • IDPH Reciprocity Application Form
  • IDPH System Modification Form
  • IDPH Training Application Form  
  • IDPH Site Code Application
  • EMS Site Code Explanation  
  • DCFS Suspected Child Abuse / Neglect Documentation Form
    • IDPH Web Site
    • Department of Children and Family Services
    • EMS License Renewals Brochure

Abandoned Baby Documents

  • Help Is Here tear off Safe Haven Document
  • Illinois Adoption Registry and Medical Information Exchange
  • Post Partum Taking Care of Yourself Document

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