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WASHINGTON COUNTY HEALTH DEPARTMENT 1302 Pennsylvania Avenue Hagerstown, MD 21742 washcohealth.org www.facebook.com/washhealthReferral Form Tobacco Free for Life Program Patient Information:Date of
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Visit the website of the Washington County Health Department.
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Go to the forms section and locate the 'Washington County Health Department Application Form'.
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Download and print the application form.
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Fill out the application form accurately and completely.
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Attach any required supporting documents, such as identification or medical records.
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Double-check all the information provided to ensure its accuracy.
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Submit the completed application form and supporting documents to the Washington County Health Department either in person or by mail.

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Residents of Washington County who require access to various health services, including but not limited to immunizations, reproductive health care, communicable disease control, environmental health, and health education, need the Washington County Health Department. Additionally, individuals seeking assistance with public health emergencies, such as disease outbreaks or natural disasters, can also benefit from the resources and services provided by the department.
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The Washington County Health Department is a local governmental agency responsible for promoting public health, ensuring community health safety, and implementing health policies and programs in Washington County.
Individuals and businesses that are involved in activities regulated by the Washington County Health Department, such as food service establishments, healthcare providers, and certain public health-related organizations, are required to file relevant paperwork with the department.
To fill out forms for the Washington County Health Department, you should obtain the necessary forms from their official website or office, complete the required information accurately, and submit them as per the instructions provided, ensuring all documents are signed and dated where necessary.
The purpose of the Washington County Health Department is to protect and improve the health of the community through disease prevention, health education, health promotion, and ensuring compliance with health regulations.
Information that must be reported includes health-related data, incidents of communicable diseases, compliance with health regulations, and any other data required as part of specific health programs or licensing applications.
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