Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.


  1. Contact Us

    Contact form for Accelerate Access McLean County

Health Department Public Use Forms

  1. 2022 Community Health Needs Assessment (CHNA) and 2020-2022 Community Health Improvement Plan (CHIP) Feedback Form

    Complete this form to provide feedback for the 2022 Community Health Needs Assessment (CHNA) and the 2020-2022 Community Health... More…

  2. Foodborne & Waterborne Illness Investigation Questionnaire

    Individuals are required to provide information about their illness and eating/drinking habits as part of a foodborne illness... More…

  3. Public Health Complaint Form
  4. Request Us at Your Health Fair or Community Event

    Complete this form to request us at your health fair or community event.

  5. Submit a Smoking Complaint

    Complete this form to report a suspected Smoke-Free Illinois Act violation observed in McLean County.

  1. Contact Us

    Let us know if you have a question, comment, or request.

  2. How are we doing?

    We appreciate your feedback on your visit with the McLean County Health Department.

  3. Request a Health Presentation

    Complete this form to request a health presentation at your organization.

  4. Smoke-Free Housing Directory Registry

    Complete this form to list your smoke-free property in the Smoke-Free Housing Directory.