Document Center
The Document Center provides easy access to public documents. Click on one of the categories below to see related documents or use the search function.
Categories always sorted by seq (sub-categories sorted within each category)
Documents sorted by HEADER in Ascending Order within category
Documents sorted by HEADER in Ascending Order within category
Administration Documents20 documents
- Authorization to Release Healthcare Information Release of Information (ROI)
- Freedom of Information Act Request Form.pdf
- Job Application.pdf
- Notice of Privacy Practices.pdf
- Patient Grievance Form.docx
- WCHD IPLAN 2020 2025 Final WCHD IPLAN 2020 2025 Final
- Whiteside County Board of Health Bylaws
- Whiteside County Community Health Clinic Governing Council Bylaws
- Whiteside County Health Department Annual Report FY2023
- Whiteside County Health Department Annual Report FY22
Board Calendars8 documents
- Board of Health Schedule of Meetings 2021
- Board of Health Schedule of Meetings 2022
- Board of Health Schedule of Meetings 2023
- Board of Health Schedule of Meetings 2024.pdf
- Governing Council Schedule of Meetings 2021
- Governing Council Schedule of Meetings 2022
- Governing Council Schedule of Meetings 2023
- Governing Council Schedule of Meetings 2024 (Revised 1.10.2024).pdf
Clinic Forms28 documents
Behavioral Health Forms12 documents
- Adult Symptoms - Self Rating Form
- Authorization - Former Treatment
- Authorization - Pre-Filled
- Authorization to Schools
- Child-Adolescent Intake Form (For Parent to Complete)
- Informed Consent
- Medical History
- Notice of Privacy Practices
- Patient Health Questionnaire - Adult
- Patient Information
- Pediatric Symptom Checklist (For Parent to Complete)
- Verification of Income
Fee Schedules2 documents
- CHC Special Event Fees 2024.pdf
- Immunization Fees Immunization Costs if Not Covered by Insurance
Press Releases20 documents
- 2022.02.25 WCHD No Appointment Required SHIELD Testing
- 2022.05.23 COVID-19 Automated Case Notification Begins June 1
- 2022.06.02 First Probable Case of MPV in Illinois
- 2022.06.29 WCHD SHIELD Testing Paused
- 2022.07.01 WCHD SHIELD Community Testing Reopens July 6th
- 2022.08.03 MPV Vaccine Not Yet Available in Whiteside County
- 2022.08.05 Mosquitoes Test Positive for West Nile Virus Near Sterling IL
- 2022.08.09 First Case of MPV in Winnebago County
- 2022.08.25 First MPV Case in Dekalb County
- 2022.09.01 Bivalent COVID-19 Updated Booster Approved
- 2022.09.12 WCHD to Begin Offering Bivalent Boosters.pdf
- 2022.09.19 WCHD High Dose Influenza Vaccine Available 9_20_22
- 2022.09.23 WCHD Influenza Vaccine Available Today
- 2022.10.26 IDPH News Release Halloween
- 2022.10.27 Whiteside County Environmental Office Moves to Rock Falls Location
- 2023.05.02 Whiteside County CHC Mobile Physicals May and July
- 2023.05.11 WCHD & CHC Mark the End of the COVID-19 Public Health Emergency
- 2023.06.15 West Nile Virus Reported in Four Illinois Counties so Far in 2023 as IDPH Warns Public to Fight the Bite.pdf
- 2023.08.24 Mosquitoes Test Positive for West Nile - Morrison IL Mosquitoes collected on August 15, 2023 near Morrison, IL have tested positive for the West Nile virus according to Rian Nailor, Director of Environmental Health...
- 2024.03.04 WCHD Expansion Construction Begins; Patient Parking Changes Coming Soon WCHD Construction Begins; Patient Parking Changes Coming
Immunizations2 documents
- Immunization Consent Form
- Immunization Fees Immunization Costs if Not Covered by Insurance
Environmental Documents63 documents
Food Program20 documents
- Consumer Advisory Sign Spanish.pdf
- Cottage Food Home Self-Certification Checklist.pdf
- Cottage Food Registration Form.pdf
- Food Allergy Awareness Notice.pdf
- Food Date Labels.pdf
- Food Establishment Plan Review and Application 2023.pdf
- Food Safety Plan for Acidified and Fermented Foods.pdf
- FOOD SERVICE SANITATION CODE.url
- IDPH Consumer Advisory.pdf
- IDPH Cottage Food Guide 2022.pdf
- Lemonade Stand Application.pdf
- Mobile Unit Plan Review and Application.pdf
- Plan Review Process Flow Chart.pdf
- Procedure for the cleanup of vomit fecal event.pdf
- Temperature Log.pdf
- Temporary Event Permit.pdf
- Temporary Food Guidelines.pdf
- Websites for food worker cards.pdf
- WHITESIDE COUNTY HEALTH CODE.url
- WHITESIDE COUNTY'S FOOD ESTABLISHMENT LOOK-UP.url
Private Sewage Program17 documents
- Maintenance Agreement for Private Sewage Disposal System.pdf
- Preparing for the Septic Evaluation.pdf
- Pumper Cleaner Corporate Form.pdf
- Pumper Cleaner Individual Form.pdf
- Qualified Soil Investigation Services.pdf
- Request for Septic Variance.pdf
- Request to reuse septic and or well.pdf
- Septic Application Non-Residential.pdf
- Septic Application Private Residential.pdf
- Septic Cleaners-Pumpers Licensed In Whiteside County.pdf
- Septic Elevation Form.pdf
- Septic Installer Corporate Application.pdf
- Septic Installer Individual Application.pdf
- Septic Installers Licensed in Whiteside County.pdf
- Septic Undersized Lot Waiver Form.pdf
- Site Plan Instructions Septic.pdf
- Small Lot Plan Review.pdf
Water Well Program13 documents
- Application for Permit to construct, modify or seal a closed loop well.pdf
- Drilled Well Modification Completion Form.pdf
- Drilled Well Modification Completion Form.pdf
- Licensed Well Drillers Whiteside County.pdf
- Non Potable Water Well Compliance Agreement.pdf
- Non-community Public Water System Application.pdf
- Pump Installation Form.pdf
- Request for Well Variance Form.pdf
- Request to Reuse an Abandoned Well.pdf
- Request to reuse septic and or well.pdf
- Water well construction report.pdf
- Water Well Sealing Form.pdf
- Well Permit Application.pdf