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National Health Center Week Activities3 documents

  • Walking Challenge
    document Header Walking Challenge
  • Touch A Truck
    document Header Touch A Truck
  • Coloring Contest
    document Header Coloring Contest

Physical Paperwork2 documents

  • School and Sports Physical Paperwork - Spanish.pdf
    document Header School and Sports Physical Paperwork - Spanish.pdf
  • 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

  • PATIENT INTAKE - Verification of Income (1-23-23).pdf
    document Header PATIENT INTAKE - Verification of Income (1-23-23).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 Releases19 documents

  • 2023.08.24 Mosquitoes Test Positive for West Nile - Morrison IL
    document Header 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...
  • 2023.06.15 West Nile Virus Reported in Four Illinois Counties so Far in 2023 as IDPH Warns Public to Fight the Bite.pdf
    document Header 2023.06.15 West Nile Virus Reported in Four Illinois Counties so Far in 2023 as IDPH Warns Public to Fight the Bite.pdf
  • 2023.05.11 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