DOH Service Telephone Directory
Select directory to view the telephones number of the various DOH services.
Department of Health
Office Hours
Monday to Friday, 8:15 am to 4:45 pm, except District holidays
Connect With Us
899 North Capitol Street NE, Washington, DC 20002
Phone: (202) 442-5955
Fax: (202) 442-4795
TTY: 711
Email:doh@dc.gov
Agency Performance
Monday to Friday, 8:15 am to 4:45 pm, except District holidays
Connect With Us
899 North Capitol Street NE, Washington, DC 20002
Phone: (202) 442-5955
Fax: (202) 442-4795
TTY: 711
Email:doh@dc.gov
Agency PerformanceDOH Applications and Forms
Addiction and Recovery
- Access to Recovery Program Certification [PDF]
- APRA Training Application [PDF]
- Access the Unusual Incident Report Form [PDF]
- Complaint Form [PDF]
- FOIA Requested Forms/Documentation [PDF]
- Request for Release of Information / Authorization (HIPAA Form 3) [PDF]
- Substance Abuse Complaint Form [PDF]
Animal and Rodent Licenses, Permits, and Fees
- Dog License Application [PDF]
- License Fees [PDF]
Birth and Death
Behavioral Risk Factor Surveillance System (BRFSS)
BRFSS Questionnaires
Certificate of Need
- Certificate of Need Application [PDF]
- Certificate of Need Laws / Regulations [PDF]
- State Health Plan [PDF]
College Student Internship
- Course Credit Application [PDF]
- Internship Application [PDF]
- Recommendation Form [PDF]
Complaint/Incident Report Forms
- APRA Complaint Form [PDF]
- APRA Unusual Incident Report Form [PDF]
- Healthcare or Treatment Complaint/Incident Form
- Substance Abuse Complaint Form [PDF]
DC 30/J-1 Waiver Program
- DC 30/J-1 Visa Waiver Program Guidelines [PDF]
- DC Hospitals [PDF]
- DC Federal Qualifed Health Centers [PDF]
- DC 30/J-1 Visa Waiver Application Guidelines and Checklist [PDF]
- End-of-Year Verification Form [PDF]
- Mid-Year Service [PDF]
Domestic Partnership
- Domestic Partnership Registration Form [PDF]
- Instructions [PDF]
- Affidavit of Mutual Residence [PDF]
- Request for Declaration [PDF]
- Additions or Corrections to Record [PDF]
- Withdrawal of Domestic Partnership Termination [PDF]
- Notice of Termination of Domestic Partnership [PDF]
EMS Educational Institution Certification
- 2010-0012 EMS Instructor Certification [PDF]
- Educational Institution Self-Assessment Application [PDF]
- EMS Instructor Application [PDF]
EMS Providers Certifications
- EMR Application [PDF]
- BLS Certification Verification Form [PDF]
- BLS Certification Military Verification Form [PDF]
- EMT Application [PDF]
- AEMT Application [PDF]
- ALS Certification Verification form [PDF]
- ALS Certification Military Verification form [PDF]
- EMT-I Application [PDF]
- Paramedic Application [PDF]
Healthcare Facilities
- Assisted Living Residencies Renewal Application Instructions [PDF]
- Child Placing Agencies Application Package
- Community Residence Facilities - Application Package
- Group Homes for Persons with Intellectual Disabilities Application Package
- Home Care Agencies Application Package
- Intermediate Care Facilities For Persons with Intellectual Disabilities Application Package
Health Professionals
Licensing
- Professional License Applications
- Online License Renewal
- Check Application Status
- Update License Information
- Online Professional License Search
- License Verification
-
Health Professional Profile Search
HIV/AIDS
- Adult HIV/AIDS Confidential Case Report Form [PDF]
- Technical Guidance for Adult HIV/AIDS Case Report Form [PDF]
- Pediatric HIV / AIDS Confidential Case Report Form [PDF]
- Instructions for Completing the Pediatric Case Report Form - Full Version [PDF]
- STD Case Report Form [PDF]
- DC ADAP Application Form [PDF]
- Condom Ordering Form (for DC Businessess)
- Condom Ordering Form (for Indivual DC Residents)
- Categorical Budget Format [Excel]
Infectious Diseases
- Communicable Disease Case Report Form [PDF]
- Hepatitis Case Report Form [PDF]
- STD Case Report Form [PDF]
- TB Case Report Form [PDF]
Institutional Review Board for the Public Health
- Exempt Review- Application Form [PDF] / Procedures for Submission [PDF]
- Full Review – Application Form [PDF]/ Procedures for Submission [PDF]
- Request for Use of Data with Identifiers & Statement of Assurances [PDF]
- Renewal/Continuation- Application Form [PDF]
School Health
- DC Oral Health Certificate - May 28, 2004 [PDF]
- HPV Opt-Out NB - January 2011 [PDF]
- DC Universal HC Final - February 24, 2009 [PDF]
- DC Universal HC Instruct Rev - March 06, 2009 [PDF]
- New Immunization Requirements For the School Year - 2011-2012 [PDF]
Sexually Transmitted Diseases
Vital Records
Contact Us |
College Student Internships The DOH Internship program supports career development, provides a system of accountability and encourages professionalism. |
Free STD Testing The Southeast STD clinic provides free and confidential clinical services for persons 13 years of age and older. |
Project WISH Fight to end breast and cervical cancer mortality in the District. |