Health Department Forms

Well Mapping Form

In the summer of 2006 a project was initiated to inventory and geo-locate all of the private drinking water wells in Howard County. Using updated technology, the dated files currenly in use will be more precise.  Also, If there were ground water issues in a specific area, the Health Department would be able to accurately identify those affected and notify communities if necessary.   Click here for the Well Mapping Form.
 

Health Related Issues Complaint Report

 The Health Related Issues Complaint Form allows you to report nuisance conditions or potential health issues you have seen in Howard County. Our Department will investigate all reports to determine if a hazardous condition exists and work to resolve any issues as quickly as possible.  If you are completing the Health Related Issues Complaint Report because you think you have an illness related to eating bad food or food product, please call our Bureau of Environmental Health immediately at 410- 313-1772. After business hours, leave a message with your callback information.   Click for the Health Related Issues Complaint Form. 

Community Outreach Form

*** Due to COVID-19, the Health Department will not be participating in in-person community outreach events.***  We are happy to provide educational materials and virtual presentations to your organization.  Our ability to honor your request is based on staffing and alignment with HCHD mission and vision. Please complete the Community Health Virtual Education Request Form and a Health Promotions staff member will contact you.

For additional questions or information, please contact us at askhealth@howardcountymd.govPlease see the links below for COVID-19 information and resources.