Download forms, lists, and miscellaneous documents available from the Health Department.
- Complaint Form
Instructions for requesting information on a property in Lenawee County
Temporary Food Service License Application
Application for a temporary food service
Well and/or Septic Application
Application needed for NEW or REPLACEMENT well or septic
STFU Intent to Operate Form
Notification form that STFUs must submit 4 days prior to operating in any particular location
Documents available on the website relating to Personal Health programs.
Animal Bite Reporting Form
Form for reporting an animal bite to the Lenawee County Health Department
- Authorization for Immunization of Minors
Pediatric Immunization Registration Form
Registration form for pediatric immunizations
Release of Medical Records
Release of medical records
Request for Michigan Immunization Record
Request for Official State of Michigan Immunization Record
Communicable Disease Reports Form for Healthcare Provider Use
Healthcare providers use this form to report communicable diseases to the Lenawee County Health Department.
- Animal Bite Reporting Form