Calhoun Health Department

Serving the Health Needs of Calhoun County Residents Since 1966

618-576-2428

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    Forms & Applications

    Child Imunization Forms
    Adult Imunization Form
    Emergency Preparedness Volunteer
    Sewage Disposal System Permit
    Smoke Free Illinois Act - Complaint Form
    Safe Sitter Registration Form

    Calhoun County Health Department

    210 French Street, Hardin, IL 62047

    PHONE: 618-576-2428   FAX: 618-576-9391

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    Monday - Friday: 7:00 am - 4:30 pm
    Closed     12:00 pm -12:30 pm

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    In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on race, color, national origin, sex, disability, age, or reprisal or retaliation for prior civil rights activity in any program or activity conducted or funded by USDA.

    Persons with disabilities who require alternative means of communication for program information (e.g. Braille, large print, audiotape, American Sign Language, etc.), should contact the Agency (State or local) where they applied for benefits. Individuals who are deaf, hard of hearing or have speech disabilities may contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.

    To file a program complaint of discrimination, complete the USDA Program Discrimination Complaint Form, (AD-3027) found online at: How to File a Complaint, and at any USDA office, or write a letter addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by:

    (1) mail:U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (2)  fax: (202) 690-7442; or (3)  email: program.intake@usda.gov.

    This institution is an equal opportunity provider.