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Physical Paperwork3 documents

  • Sports Physical Paperwork - Spanish
    document Header Sports Physical Paperwork - Spanish
  • School Physical Paperwork - Spanish
    document Header School Physical Paperwork - Spanish
  • School and Sports Physical Paperwork - English
    document Header School and Sports Physical Paperwork - English

Administration Documents16 documents

  • Whiteside County Health Department Annual Report FY22
    document Header Whiteside County Health Department Annual Report FY22
  • Whiteside County Community Health Clinic Governing Council Bylaws
    document Header Whiteside County Community Health Clinic Governing Council Bylaws
  • Whiteside County Board of Health Bylaws
    document Header Whiteside County Board of Health Bylaws
  • WCHD IPLAN 2020 2025 Final
    document Header WCHD IPLAN 2020 2025 Final
    WCHD IPLAN 2020 2025 Final
  • Patient Grievance Form.docx
    document Header Patient Grievance Form.docx
  • Notice of Privacy Practices.pdf
    document Header Notice of Privacy Practices.pdf
  • Job Application.pdf
    document Header Job Application.pdf
  • Freedom of Information Act Request Form.pdf
    document Header Freedom of Information Act Request Form.pdf

Agendas & Minutes2 documents

  • CHC Governing Council
    document Header CHC Governing Council
  • Board of Health
    document Header Board of Health

Board Calendars6 documents

  • Governing Council Schedule of Meetings 2023
    document Header Governing Council Schedule of Meetings 2023
  • Governing Council Schedule of Meetings 2022
    document Header Governing Council Schedule of Meetings 2022
  • Governing Council Schedule of Meetings 2021
    document Header Governing Council Schedule of Meetings 2021
  • Board of Health Schedule of Meetings 2023
    document Header Board of Health Schedule of Meetings 2023
  • Board of Health Schedule of Meetings 2022
    document Header Board of Health Schedule of Meetings 2022
  • Board of Health Schedule of Meetings 2021
    document Header Board of Health Schedule of Meetings 2021

Clinic Forms28 documents

Behavioral Health Forms12 documents

  • Verification of Income
    document Header Verification of Income
  • Pediatric Symptom Checklist (For Parent to Complete)
    document Header Pediatric Symptom Checklist (For Parent to Complete)
  • Patient Information
    document Header Patient Information
  • Patient Health Questionnaire - Adult
    document Header Patient Health Questionnaire - Adult
  • Notice of Privacy Practices
    document Header Notice of Privacy Practices
  • Medical History
    document Header Medical History
  • Informed Consent
    document Header Informed Consent
  • Child-Adolescent Intake Form (For Parent to Complete)
    document Header Child-Adolescent Intake Form (For Parent to Complete)
  • Authorization to Schools
    document Header Authorization to Schools
  • Authorization - Pre-Filled
    document Header Authorization - Pre-Filled
  • Authorization - Former Treatment
    document Header Authorization - Former Treatment
  • Adult Symptoms - Self Rating Form
    document Header Adult Symptoms - Self Rating Form

Dental Forms4 documents

  • Verification of Income and Family Size.pdf
    document Header Verification of Income and Family Size.pdf
  • Patient Information
    document Header Patient Information
  • Notice of Privacy Practices
    document Header Notice of Privacy Practices
  • Dental Medical History
    document Header Dental Medical History

Family Planning6 documents

  • STD Risk Assessment Survey
    document Header STD Risk Assessment Survey
  • Reproductive Life Plan
    document Header Reproductive Life Plan
  • Notice of Privacy Practices
    document Header Notice of Privacy Practices
  • Family Planning Initial Medical History
    document Header Family Planning Initial Medical History
  • Family Planning Demographics
    document Header Family Planning Demographics
  • Change in Billing
    document Header Change in Billing

Medical Forms6 documents

  • Verification of Income and Family Size.pdf
    document Header Verification of Income and Family Size.pdf
  • Patient Information
    document Header Patient Information
  • Patient Health Questionnaire - Adult.pdf
    document Header Patient Health Questionnaire - Adult.pdf
  • Patient Health Questionnaire - Adolescent.pdf
    document Header Patient Health Questionnaire - Adolescent.pdf
  • Notice of Privacy Practices.pdf
    document Header Notice of Privacy Practices.pdf
  • Medical History Form.pdf
    document Header Medical History Form.pdf

Fee Schedules6 documents

  • WCHD - Immunization Fees
    document Header WCHD - Immunization Fees
  • WCCHC - Medical Clinic Special Fees
    document Header WCCHC - Medical Clinic Special Fees
  • WCCHC - Medical Clinic Fees
    document Header WCCHC - Medical Clinic Fees
  • WCCHC - Dental Clinic Fees.pdf
    document Header WCCHC - Dental Clinic Fees.pdf
  • WCCHC - Dental Clinic Fees 2
    document Header WCCHC - Dental Clinic Fees 2
  • Animal Control Fee Schedule
    document Header Animal Control Fee Schedule

Job Application1 document

  • Whiteside Application for Employment
    document Header Whiteside Application for Employment

Press Releases17 documents

  • 2023.05.11 WCHD & CHC Mark the End of the COVID-19 Public Health Emergency
    document Header 2023.05.11 WCHD & CHC Mark the End of the COVID-19 Public Health Emergency
  • 2023.05.02 Whiteside County CHC Mobile Physicals May and July
    document Header 2023.05.02 Whiteside County CHC Mobile Physicals May and July
  • 2022.10.27 Whiteside County Environmental Office Moves to Rock Falls Location
    document Header 2022.10.27 Whiteside County Environmental Office Moves to Rock Falls Location
  • 2022.10.26 IDPH News Release Halloween
    document Header 2022.10.26 IDPH News Release Halloween
  • 2022.09.23 WCHD Influenza Vaccine Available Today
    document Header 2022.09.23 WCHD Influenza Vaccine Available Today
  • 2022.09.19 WCHD High Dose Influenza Vaccine Available 9_20_22
    document Header 2022.09.19 WCHD High Dose Influenza Vaccine Available 9_20_22
  • 2022.09.12 WCHD to Begin Offering Bivalent Boosters.pdf
    document Header 2022.09.12 WCHD to Begin Offering Bivalent Boosters.pdf
  • 2022.09.01 Bivalent COVID-19 Updated Booster Approved
    document Header 2022.09.01 Bivalent COVID-19 Updated Booster Approved
  • 2022.08.25 First MPV Case in Dekalb County
    document Header 2022.08.25 First MPV Case in Dekalb County
  • 2022.08.09 First Case of MPV in Winnebago County
    document Header 2022.08.09 First Case of MPV in Winnebago County
  • 2022.08.05 Mosquitoes Test Positive for West Nile Virus Near Sterling IL
    document Header 2022.08.05 Mosquitoes Test Positive for West Nile Virus Near Sterling IL
  • 2022.08.03 MPV Vaccine Not Yet Available in Whiteside County
    document Header 2022.08.03 MPV Vaccine Not Yet Available in Whiteside County
  • 2022.07.01 WCHD SHIELD Community Testing Reopens July 6th
    document Header 2022.07.01 WCHD SHIELD Community Testing Reopens July 6th
  • 2022.06.29 WCHD SHIELD Testing Paused
    document Header 2022.06.29 WCHD SHIELD Testing Paused
  • 2022.06.02 First Probable Case of MPV in Illinois
    document Header 2022.06.02 First Probable Case of MPV in Illinois
  • 2022.05.23 COVID-19 Automated Case Notification Begins June 1
    document Header 2022.05.23 COVID-19 Automated Case Notification Begins June 1
  • 2022.02.25 WCHD No Appointment Required SHIELD Testing
    document Header 2022.02.25 WCHD No Appointment Required SHIELD Testing

Environmental Documents63 documents

  • Environmental Health Fees.pdf
    document Header Environmental Health Fees.pdf

Body Art Program8 documents

  • What to konw before getting a tattoo.pdf
    document Header What to konw before getting a tattoo.pdf
  • What to know before getting a piercing.pdf
    document Header What to know before getting a piercing.pdf
  • Tattoo and Body Piercing Act.pdf
    document Header Tattoo and Body Piercing Act.pdf
  • Human Trafficking Poster.pdf
    document Header Human Trafficking Poster.pdf
  • Body Art Registration.pdf
    document Header Body Art Registration.pdf
  • Body Art Piercing Warning Posters.pdf
    document Header Body Art Piercing Warning Posters.pdf
  • Body Art Establishment Fee Structure.pdf
    document Header Body Art Establishment Fee Structure.pdf
  • Body Art Code.pdf
    document Header Body Art Code.pdf

Food Program20 documents

  • WHITESIDE COUNTY'S FOOD ESTABLISHMENT LOOK-UP.url
    document Header WHITESIDE COUNTY'S FOOD ESTABLISHMENT LOOK-UP.url
  • WHITESIDE COUNTY HEALTH CODE.url
    document Header WHITESIDE COUNTY HEALTH CODE.url
  • Websites for food worker cards.pdf
    document Header Websites for food worker cards.pdf
  • Temporary Food Guidelines.pdf
    document Header Temporary Food Guidelines.pdf
  • Temporary Event Permit.pdf
    document Header Temporary Event Permit.pdf
  • Temperature Log.pdf
    document Header Temperature Log.pdf
  • Procedure for the cleanup of vomit fecal event.pdf
    document Header Procedure for the cleanup of vomit fecal event.pdf
  • Plan Review Process Flow Chart.pdf
    document Header Plan Review Process Flow Chart.pdf
  • Mobile Unit Plan Review and Application.pdf
    document Header Mobile Unit Plan Review and Application.pdf
  • Lemonade Stand Application.pdf
    document Header Lemonade Stand Application.pdf
  • IDPH Cottage Food Guide 2022.pdf
    document Header IDPH Cottage Food Guide 2022.pdf
  • IDPH Consumer Advisory.pdf
    document Header IDPH Consumer Advisory.pdf
  • FOOD SERVICE SANITATION CODE.url
    document Header FOOD SERVICE SANITATION CODE.url
  • Food Safety Plan for Acidified and Fermented Foods.pdf
    document Header Food Safety Plan for Acidified and Fermented Foods.pdf
  • Food Establishment Plan Review and Application 2023.pdf
    document Header Food Establishment Plan Review and Application 2023.pdf
  • Food Date Labels.pdf
    document Header Food Date Labels.pdf
  • Food Allergy Awareness Notice.pdf
    document Header Food Allergy Awareness Notice.pdf
  • Cottage Food Registration Form.pdf
    document Header Cottage Food Registration Form.pdf
  • Cottage Food Home Self-Certification Checklist.pdf
    document Header Cottage Food Home Self-Certification Checklist.pdf
  • Consumer Advisory Sign Spanish.pdf
    document Header Consumer Advisory Sign Spanish.pdf

Private Sewage Program17 documents

  • Small Lot Plan Review.pdf
    document Header Small Lot Plan Review.pdf
  • Site Plan Instructions Septic.pdf
    document Header Site Plan Instructions Septic.pdf
  • Septic Undersized Lot Waiver Form.pdf
    document Header Septic Undersized Lot Waiver Form.pdf
  • Septic Installers Licensed in Whiteside County.pdf
    document Header Septic Installers Licensed in Whiteside County.pdf
  • Septic Installer Individual Application.pdf
    document Header Septic Installer Individual Application.pdf
  • Septic Installer Corporate Application.pdf
    document Header Septic Installer Corporate Application.pdf
  • Septic Elevation Form.pdf
    document Header Septic Elevation Form.pdf
  • Septic Cleaners-Pumpers Licensed In Whiteside County.pdf
    document Header Septic Cleaners-Pumpers Licensed In Whiteside County.pdf
  • Septic Application Private Residential.pdf
    document Header Septic Application Private Residential.pdf
  • Septic Application Non-Residential.pdf
    document Header Septic Application Non-Residential.pdf
  • Request to reuse septic and or well.pdf
    document Header Request to reuse septic and or well.pdf
  • Request for Septic Variance.pdf
    document Header Request for Septic Variance.pdf
  • Qualified Soil Investigation Services.pdf
    document Header Qualified Soil Investigation Services.pdf
  • Pumper Cleaner Individual Form.pdf
    document Header Pumper Cleaner Individual Form.pdf
  • Pumper Cleaner Corporate Form.pdf
    document Header Pumper Cleaner Corporate Form.pdf
  • Preparing for the Septic Evaluation.pdf
    document Header Preparing for the Septic Evaluation.pdf
  • Maintenance Agreement for Private Sewage Disposal System.pdf
    document Header Maintenance Agreement for Private Sewage Disposal System.pdf

Tanning Program4 documents

  • Tanning Warning Posters.pdf
    document Header Tanning Warning Posters.pdf
  • Tanning Code.pdf
    document Header Tanning Code.pdf
  • Tanning Application.pdf
    document Header Tanning Application.pdf
  • Tanning Act.pdf
    document Header Tanning Act.pdf

Water Well Program13 documents

  • Well Permit Application.pdf
    document Header Well Permit Application.pdf
  • Water Well Sealing Form.pdf
    document Header Water Well Sealing Form.pdf
  • Water well construction report.pdf
    document Header Water well construction report.pdf
  • Request to reuse septic and or well.pdf
    document Header Request to reuse septic and or well.pdf
  • Request to Reuse an Abandoned Well.pdf
    document Header Request to Reuse an Abandoned Well.pdf
  • Request for Well Variance Form.pdf
    document Header Request for Well Variance Form.pdf
  • Pump Installation Form.pdf
    document Header Pump Installation Form.pdf
  • Non-community Public Water System Application.pdf
    document Header Non-community Public Water System Application.pdf
  • Non Potable Water Well Compliance Agreement.pdf
    document Header Non Potable Water Well Compliance Agreement.pdf
  • Licensed Well Drillers Whiteside County.pdf
    document Header Licensed Well Drillers Whiteside County.pdf
  • Drilled Well Modification Completion Form.pdf
    document Header Drilled Well Modification Completion Form.pdf
  • Drilled Well Modification Completion Form.pdf
    document Header Drilled Well Modification Completion Form.pdf
  • Application for Permit to construct, modify or seal a closed loop well.pdf
    document Header Application for Permit to construct, modify or seal a closed loop well.pdf