School Reporting Form
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Children's Special Health Care Forms
Request for Public Record​
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Notice of Privacy Practices - HIPAA
Power of Attorney
Authorization to Release Medical Information
Client Concern Form
FOIA Request Policy
Request for Access to PHI (1)
Request for Review of Denial of Access to PHI (3)
Request Form for Accounting of Disclosures of PHI (5)
Request to Make Amendments to PHI (9)
Authorization to Release Medical Information (12)
Request for Attachment of Documentation to Future PHI (14)
Clients Statement of Disagreement with a Denial of Amendment of PHI (15)
Revocation of Authorization for the Use or Disclosure of PHI (16)
Privacy Complaint Form (18)
Notice of Privacy Practices (23)
Patient Acknowledgement and Consent Form (24)
Request for Additional Restrictions on the Use and Disclosure of PHI by Individuals (26)
Confidential Communication Request Form (27)
Request to Opt Out of TCHD Fundraising Communication (31)
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Environmental Health Code
Food Service. Water. and Sewage Forms
Employment Application
Public Health Fee Schedule
Environmental Health Fee Schedule
