Forms below are posted as PDF files. You should be able to view, download, and print the forms with most current web browsers. Files can also be viewed using Adobe Acrobat Reader. The program is free to download and use. If you do not have it, click here to download.

Nursing Forms

COVID-19 Immunization Consent Forms

COVID Consent Form (12 and older)

COVID Consent Form (6 months to 11 years old)

COVID Consent Form (317 Program: Uninsured and Underinsured adults)

Flu Immunization Consent Forms

Seasonal Influenza Form

Seasonal Influenza Form (317 Program: Uninsured and Underinsured Adults)

Car Seat Forms

Request for a Car Seat/Booster Seat Form

Environmental Health Forms

Animal Bite Report Form

Temporary Food Service Application

Mobile Food Operation Information Packet

Nuisance Investigation Report

Water Sample Request Form

Household Sewage Treatment System (HSTS) Site Review Packet

HSTS Process

HSTS Site Review Application

HSTS Soil Form

Household Sewage Treatment System Forms and Documents

Operation and Maintenance Pamphlet

Operation and Maintenance Application

Operation and Maintenance Evaluation Form

Request for HSTS information

Household Sewage Treatment System Alteration Permit

Household Sewage Treatment System Installation Permit

Approved Septic Installers

Approved Septic System Service Providers

Approved Septic Haulers

Approved Soil Evaluators and Designers

 

Wyandot County Public Health is nationally accredited through the Public Health Accreditation Board (PHAB). Established in 2007, PHAB is the non-profit organization that administers the national accreditation program, which aims to advance and transform public health practice by championing performance improvement, strong infrastructure, and innovation.