Polk County Health Department

Welcome to the Polk County Health Department

1907 Carpenter Ave.
Des Moines, IA 50314

Phone:
Fax:
Toll Free:
Email:

515-286-3798
515-286-2033
866-209-1300
HealthDept@polkcountyiowa.gov

FORMS

- Flu Vaccination Consent Form

- Emergency Information Card

- Health Department Fee Schedule

- Health Education Request Form

Online Medical Volunteer Application

- Polk County Health Department Privacy Notice

- Departmento de Servicios Humanos Noticia Privada

- Student Consent form

Forms with the PDF icon icon may be viewed and printed with the free Adobe Acrobat® Reader.

Click on the icon to download the free reader.