CONTACT US

Fairfield  Department
of Health
1550 Sheridan Drive
Suite 100 (map)
Lancaster, Ohio 43130
P: 740-652-2800
FAIRFIELD DEPARTMENT OF HEALTH: DEPARTMENT FORMS
ENVIRONMENTAL HEALTH FORMS
Nuisance Complaint Form
Food Facility Review Packet
Temporary Food Application Packet
Mobile Food Application Packet
Animal Bite Reporting Form
Plumbing Forms
Sewage Treatment Permit Application
Variance Request Form
Subdivision of Land / Lot Inspection Application
Private Water System Application
Well Pump Completion Form
As-Built Packet
Tattoo/ Body Piercing Facility Application
STS Abandonment Form

NURSING FORMS
TDAP & Menigitis Registration Forms for 7th & 12 grade
ODH Reportable Disease Form
ABC's of Reportable Diseases

VITAL STATISTICS FORMS
Application for Birth or Death Certificates
Fairfield County Health Department
Fairfield County Health Department - Lancaster, Ohio
Fairfield Department of Health
Larry Hanna / Email
Administrator
P: 740-652-2817

Kathie Whitlock / Email
Admin. Assistant


Office + Clinic Hours:
Monday-Friday 8am to 4pm
Closed 11:30am to 12:00pm

Contact Us:
Phone: 740-652-2800
               800-400-8056
               614-322-5245
Fax:       740-653-6626
Fairfield County Alerts
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1550 Sheridan Drive
Suite 100 (map)
Lancaster, Ohio 43130