Mason County

Health Department

 

 

Forms

 

Environmental Health

* Temporary Food Application

* Food Application

* Pre-Operation Plan– Coming Soon

* New Septic Application

*          2008 Letter to Installers

* Variance Request

* New Well Application

* Well Sealing Application

* Nuisance Complaint

* Environmental Loan Review

 

 

Immunizations

* Immunization request form

* Questionnaire

* VFC survey form

* Cornerstone consent  form

* Immunization record release form 

* Notice of Privacy Practices

 

 

Family Planning

* Health History

* Notice of Privacy Practices

* Release of Information

 

 

Prenatal

* Health History

* Notice of Privacy Practices

* Release of Information

 

 

WIC/Family Case management

* Health History

* Notice of Privacy Practices

* Release of Information