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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
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FORMS

- Flu Vaccination Consent Form

- La vacunación contra la gripe formulario de consentimiento

- Emergency Information Card

Online Medical Reserve Corps Application

- Polk County Health Department Privacy Notice

- Departmento de Servicios Humanos Noticia Privada

- Student Consent form


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