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PLEASE TYPE OR PRINT Submit check payable to Central Racine County Health Department with application to address at left Central Racine County Health Department 10005 Northwestern Avenue, Suite A

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How to fill out racine county health department

01

Open the Racine County Health Department website

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Click on the 'Forms' section

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Find the 'Racine County Health Department Application Form'

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Review the completed form for any errors or missing information

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Submit the filled application form to the Racine County Health Department

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Residents of Racine County who require public health services

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The Racine County Health Department is a government agency responsible for promoting and protecting the health of residents in Racine County.

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