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Department of Public Health
Coastal Health District Functional and Medical Needs Evacuation Registration Form
Note: Please PRINT the entire form and mail it to your county health department. Registration
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The department of public health is a government agency responsible for protecting and promoting the health of the population.
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Healthcare facilities, medical professionals, and certain businesses may be required to file reports with the department of public health.
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Forms for the department of public health can typically be filled out online or submitted via mail. It is important to provide accurate and up-to-date information.
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The purpose of the department of public health is to monitor and improve the health of the community, prevent the spread of diseases, and ensure the safety of the public.
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Information that may need to be reported to the department of public health includes infectious diseases, environmental hazards, and other health-related data.
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