Health

DOH Feedback

The Department of Health offers several ways to communicate with our site visitors.

Send Comments / Request Information

Feel free to send your comments, suggestions, and/or questions. We value your input and desire to make these pages as useful as possible.

Please do not submit personal information, such as social security numbers, detailed medical history or similar personal information via this "Contact Us" form. If we need additional information, we will contact you.

In the form below, select the Office or Recipient that you want to send your message to. If you are unsure of which office should receive your message, select General Feedback.

Untitled Document
*required information.
 
*Program: 
Prefix: 
First Name: 
Middle Initial: 
Last Name: 
Suffix: 
Address: 
 
Street: 
Suite/P.O. Box: 
City: 
county:
state:
Zip Code: 
-
Country: 
Phone Number: 
( ) - ext
E-mail: 
Re-enter E-mail: 
Subject: 
*Comments: 
If you desire a reply or follow-up to your message, please include your name, email address, phone number and / or postal address.
Contact:
Last Reviewed: 10/12/2016