Wheeling-Ohio County Health Department
Community Services Community Information Business Information Health Programs

Fillable Web Forms (Arranged alphabetically)


  1. Daily Report of Influenza Like Illness (ILI)

Forms and Documents (Arranged alphabetically)


  1. 0-6yrs Immunization Schedule 2010 (PDF)
  2. 2010 Breast & Cervical Cancer Screening Fee Scale (PDF)
  3. 2010 Family Planning Sliding Fee Scale (PDF)
  4. 2010 Immunization Fee Schedule (PDF)
  5. 2010 Rabies Post Exposure PEP Recommendations (PDF)
  6. 2010 TB Symposium (PDF)
  7. 2010 WOCHD Food Handlers Class Calendar (PDF)
  8. 2011 WOCHD Food Handlers Class Calendar (PDF)
  9. 2012 WOCHD Food Handlers Class Calendar (PDF)
  10. 3/1/09 Public Health Advisory (PDF)
  11. 7-18yrs Immunization Schedule 2010 (PDF)
  12. 7th Grade Vaccination Initiative 2010 (PDF)
  13. Adult Immunization Schedule 2010 (PDF)
  14. ALA's WV Local Ordiance Grades (PDF)
  15. American Lung Association's Report Card on Tobacco Control Released (PDF)
  16. Animal Encounter Report (DOC)
  17. Animal Encounter Report Form/Animal Bite Form (PDF)
  18. Anthrax Information for Public (PDF)
  19. Anthrax Information for Public Health Officials (PDF)
  20. Application for Bare Hand Contact Procedure (PDF)
  21. Application For Sewage Tank Cleaning Permit (PDF)
  22. Basic Radon Facts (PDF)
  23. Bed & Breakfast 2010-2011 Application (PDF)
  24. Bed & Breakfast 2011-2012 Application (PDF)
  25. Bed Bug Information Sheet from Rutgers (PDF)
  26. Bed Bug Information Sheet from WVU Extension (PDF)
  27. Board of Health By-Laws (PDF)
  28. Board of Health meeting minutes 5-10-11 (PDF)
  29. Board of Health minutes 2008 01-8 (PDF)
  30. Board of Health minutes 2008 02-12 (PDF)
  31. Board of Health minutes 2008 03-11 (PDF)
  32. Board of Health minutes 2008 04-15 (PDF)
  33. Board of Health minutes 2008 05-20 (PDF)
  34. Board of Health minutes 2008 06-17 (PDF)
  35. Board of Health minutes 2008 07-29 (PDF)
  36. Board of Health minutes 2008 08-9 (PDF)
  37. Board of Health minutes 2008 10-21 (PDF)
  38. Board of Health minutes 2008 12-9 (PDF)
  39. Board of Health minutes 2009 01-27 (PDF)
  40. Board of Health minutes 2009 03-24 (PDF)
  41. Board of Health minutes 2009 05-26 (PDF)
  42. Board of Health minutes 2009 07-28 (PDF)
  43. Board of Health minutes 2009 09-29 (PDF)
  44. Board of Health minutes 2009 11-10 (PDF)
  45. Board of Health minutes 2010 01-19 (PDF)
  46. Board of Health minutes 2010 03-23 (PDF)
  47. Board of Health minutes 2010 05-25 (PDF)
  48. Board of Health minutes 2010 07-13 (PDF)
  49. Board of Health minutes 2010 08-10 (PDF)
  50. Board of Health minutes 2010 10-12 (PDF)
  51. Board of Health minutes 2010 12-14 (PDF)
  52. Board of Health minutes 2011 03-8 (PDF)
  53. Board of Health minutes 2011 05-10 (PDF)
  54. Board of Health minutes 2011 06-14 (PDF)
  55. Board of Health minutes 2011 07-19 (PDF)
  56. Board of Health minutes 2011 08-11 (PDF)
  57. Board of Health minutes 2011 09-13 (PDF)
  58. Board of Health minutes 2011 10-18 (PDF)
  59. Board of Health minutes 2011 11-8 (PDF)
  60. Board of Health minutes 2011 12-13 (PDF)
  61. Boil Order Guidelines and Information (PDF)
  62. Botulism Information for Public (PDF)
  63. Botulism Information for Public Health Officials (PDF)
  64. Campground 2010-2011 Application (PDF)
  65. Campground 2011-2012 Application (PDF)
  66. Care Facility 2010-2011 Application (PDF)
  67. Care Facility 2011-2012 Application (PDF)
  68. Catch-up Immunization Schedule 2010 (PDF)
  69. CDC Advisory on Salmonella Outbreak (PDF)
  70. CDC H1N1 Health Update 5/27/09 (PDF)
  71. Childcare 2011 Application (PDF)
  72. Clean Indoor Air Regulation (PDF)
  73. Clean Indoor Air Regulation, WOCHD (PDF)
  74. Clean Indoor Air Regulation, WOCHD (PDF)
  75. Clean Indoor Air Regulation, WOCHD/BOH 2005 (PDF)
  76. CPR-AED Class flyer 2009 (PDF)
  77. Disinfecting Small Quantities of Water (PDF)
  78. Disinfecting Water Supply (PDF)
  79. Disinfecting Water Supply (PDF)
  80. Dispelling Some Common Radon Myths (PDF)
  81. Download Volunteer Form (PDF)
  82. Draft WOCBOH Clean Air Regulation (PDF)
  83. Draft: Clean Air Regulation, WOCHD (PDF)
  84. Draft: Clean Air Regulation, WOCHD (PDF)
  85. Farmers Market Guide (PDF)
  86. Fish Consumption Advisories Available for 2010 (PDF)
  87. Flood Waters And Tetanus (PDF)
  88. Flu - Top 5 Ways to Stop the Spread (PDF)
  89. Flu -Protect Yourself (PDF)
  90. Food Code 2005 (PDF)
  91. Food Code 2005- Food Plan Review (PDF)
  92. Food Code 2005- Managing Food Safety (PDF)
  93. Food Establishment Permit Application (DOC)
  94. Food Service Establishment 2010-2011 Application (PDF)
  95. Food Service Establishment 2011-2012 Application (PDF)
  96. Ground Water Protection and Your Septic System (PDF)
  97. H1N1 Adult Consent Form 09 (PDF)
  98. H1N1 Child Consent Form 09 (PDF)
  99. H1N1 Flu Update 6/8/09 (PDF)
  100. H1N1 Update 6-10-09 (PDF)
  101. H1N1 Update 6-11-09 (PDF)
  102. H1N1 Update 6-12-09 (PDF)
  103. H1N1 Update 6/30/09 (PDF)
  104. H1N1 Update 6/9/09 (PDF)
  105. H1N1 Update July 1, 2009 (PDF)
  106. H1N1 Update July 27, 2009 (PDF)
  107. H1N1 Update July 9, 2009 (PDF)
  108. H1N1 Update June 15, 2009 (PDF)
  109. H1N1 Update June 17, 2009 (PDF)
  110. H1N1 Update June 25, 2009 (PDF)
  111. H1N1 Updates and Information (PDF)
  112. H1N1 Vaccine Health Advisory (PDF)
  113. Hancock County Confirmed Case of H1N1 (PDF)
  114. Handwashing & Goves (PDF)
  115. Health Officers of Wheeling/Ohio County (PDF)
  116. Helping Children Cope with Disaster (PDF)
  117. HIV Consent Resolution 2009 (PDF)
  118. Home Clean-Up (PDF)
  119. Home Loan Evaluation Application Form (PDF)
  120. Hotel/Motel 2010-2011 Application (PDF)
  121. Hotel/Motel 2011-2012 Application (PDF)
  122. Household Wells Brochure (PDF)
  123. Immunization Patient Referral Form (PDF)
  124. Individual and Onsite Sewage System Design Standards (PDF)
  125. Indoor Air Quality Info Sheet (PDF)
  126. Indoor Air Quality Info Sheet (PDF)
  127. Information on E. coli O145 Infection Linked to Shredded Romaine (PDF)
  128. Installer Certification Renewal Application (PDF)
  129. Mass Gathering 2011 Application (PDF)
  130. Mass Gathering 2012 Application (PDF)
  131. Meningococcal Meningitis (PDF)
  132. MMWR Report for March 13, 2009 (PDF)
  133. Mobile Food Service 2010-2011 Application (PDF)
  134. Mobile Food Service 2011-2012 Application (PDF)
  135. Mobile Home Park 2011 Application (PDF)
  136. Mobile Home Park 2012 Application (PDF)
  137. Mobile Home Park Application (PDF)
  138. Mobile Retail Food Service 2010-2011 Application (PDF)
  139. Mobile Retail Food Service 2011-2012 Application (PDF)
  140. MRSA WV Map (PDF)
  141. Nuisance Investigation Report (PDF)
  142. Ohio County Health Profile (PDF)
  143. Ohio County Recycling Drop-Off Locations (PDF)
  144. Organized Camp 2010-2011 Application (PDF)
  145. Organized Camp 2011-2012 Application (PDF)
  146. Permit to Install or Modify an Individual Sewer System (PDF)
  147. Person In Charge Training (PDF)
  148. Plague Information for Public Health Officials (PDF)
  149. Plague Information for the Public (PDF)
  150. Plan Review Addendum For Food Service Establishments (PDF)
  151. Plan Review For Food Service Establishments (PDF)
  152. Preparing for Disaster for People with Disabilities and other Special Needs (PDF)
  153. Probable H1N1 Cases In WV 5/28/09 (PDF)
  154. Public Health Advisory April 6, 2009 (PDF)
  155. Public Health Alert April 8, 2009 (PDF)
  156. Public Information (PDF)
  157. Public/Private School 2010-2011 Application (PDF)
  158. Public/Private School 2011-2012 Application (PDF)
  159. Rabies Information (PDF)
  160. Rabies Pamphlet (PDF)
  161. Residential Food Safety (PDF)
  162. Retail Food Safety (PDF)
  163. Retail Service Establishment 2010-2011 Application (PDF)
  164. Retail Service Establishment 2011-2012 Application (PDF)
  165. School Information (PDF)
  166. Septic System Ownership Brochure (PDF)
  167. Sewage System Affidavit (PDF)
  168. Sewage System Application (PDF)
  169. Sewage System Permit Application (PDF)
  170. Sewage System with Discharge Permit Application (PDF)
  171. Smallpox Information for Public Health Officials (PDF)
  172. Smallpox Information for the Public (PDF)
  173. Special Pandemic Forum, 2011 (registration) (PDF)
  174. Special Women's Health Clinic January 27, 2011 (PDF)
  175. Standards For Sewage Tank Cleaning Equipment (PDF)
  176. State Rule 64CSR95 (PDF)
  177. Swimming Pool 2011 Application (PDF)
  178. Swimming Pool 2012 Application (PDF)
  179. Swimming Pool weekly water report form (PDF)
  180. Swine Flu Confirmed in WV (PDF)
  181. Swine Flu Health Alert 5/18/09 (PDF)
  182. Tattoo Establishment 2011 Application (PDF)
  183. Tattoo Establishment 2012 Application (PDF)
  184. Temporary Food Service 2011 Application (PDF)
  185. Temporary Food Service 2012 Application (PDF)
  186. Temporary Food Service Guidelines Booklet (PDF)
  187. The Care and Feeding of Your Septic System (PDF)
  188. Travel Vaccination Clinic Flyer (PDF)
  189. Travel Vaccination Clinic Information (PDF)
  190. Travel Vaccination Clinic Registration (PDF)
  191. Travel Vaccines Price List (January 2012) (PDF)
  192. Tularemia Information for Public Health Officials (PDF)
  193. Tularemia Information for the Public (PDF)
  194. Types of H1N1 Vaccine at the WOCHD (PDF)
  195. Update on Swine Flu in WV (PDF)
  196. Vending Machine 2010-2011 Application (PDF)
  197. Vending Machine 2011-2012 Application (PDF)
  198. Viral Hemorrhagic Fever Information for Public Health Officials (PDF)
  199. Viral Hemorrhagic Fever Information for the Public (PDF)
  200. VIS Inactivated H1N1 information (PDF)
  201. VIS Live H1N1 information (PDF)
  202. Water Sample Request (PDF)
  203. Water Sample Request Form (PDF)
  204. Water Well Abandonment Report (PDF)
  205. Water Well Completion Report (PDF)
  206. Water Well Permit Application (PDF)
  207. Water Well Pump Installation Report (PDF)
  208. Water Well Variance Request Form (PDF)
  209. Water Well Violation Report (PDF)
  210. West Nile Detected in Ohio County (PDF)
  211. West Nile Facts (PDF)
  212. West Nile Update July 27, 2009 (PDF)
  213. West Nile Virus Poster (PDF)
  214. WOCHD Announces Food Handlers Calendar (PDF)
  215. WOCHD Fees for Service/Permit Schedule (PDF)
  216. WOCHD Fees for Service/Permit Schedule (proposed) (PDF)
  217. WOCHD Flu and H1N1 Vaccination Update (PDF)
  218. WOCHD Health Alert 4/27/09 (PDF)
  219. WOCHD Organizational Chart (PDF)
  220. WOCHD Public Health Advisory (PDF)
  221. WOCHD Public Health Advisory April 27, 2009 (PDF)
  222. WOCHD Public Health Notice 4/29/09 (PDF)
  223. WOCHD TP Volunteer Form (PDF)
  224. WOCHD/State Health Department Health Alert 5/4/09 (PDF)
  225. WV County Health Profiles (PDF)
  226. WV Poison Center Flyer (PDF)
  227. WV Rabies Vaccination Law (PDF)
  228. WVBPH Statement (PDF)
  229. WVDHHR Tetanus Shot Fact Sheet 2009 (PDF)
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