Downloadable forms / documents you may find helpful from the office of Mills County Public Health.

Mills County Public Health Forms

	PUBLIC HEALTH PREPAREDNESS FORMS / INFORMATION
	Emergency Supply Checklist
	Final Check
	Family Plan Worksheet
	COMPLAINT FORMS
	Complaint Form
	Dog/Cat Bite Complaint Form
	ENVIRONMENTAL HEALTH FORMS / INFORMATION
	Private Water Well Rehabilitation Record
	Abandoned Water Well Plugging Record
	Percolation Test Results Form
	Example of Completed Percolation Test Results Form
	Septic Permit Instructions
	Well Permit Application Form
	Notification of Responsibility
	Time of Transfer Inspection Report
	Time of Transfer Ordinance
	Time of Transfer Procedures
	Bioterrorism Preparedness in Iowa Tabloid
	Business Pandemic Flu Planning Checklist
	Childcare & Preschool Pandemic Flu Planning Checklist
	Colleges & Universities Pandemic Flu Planning Checklist
	EMS Pandemic Flu Planning Checklist
	Faith-based & Community Pandemic Flu Planning Checklist
	Home Health Care Pandemic Flu Planning Checklist
	Individuals & Families Pandemic Flu Checklist
	Law Enforcement Pandemic Flu Checklist
	Long-Term Care Pandemic Flu Planning Checklist
	Media Pandemic Flu Planning Checklist
	Medical Office & Clinic Pandemic Flu Planning Checklist
	School District K-12 Pandemic Flu Checklist
	State & Local Pandemic Flu Planning Checklist

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