Form Center Module

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.

▼Contact Us

  1. Community Organization Resource Requests
  2. COVID-19 Information Request

    Please submit your question about the COVID-19 coronavirus. A staff person at the Health Department will follow-up with you soon.

  3. COVID-19 PPE Request

    Please use this form if you are a HCP in DuPage County seeking PPE to assist with response to the COVID-19 situation.

  1. Contact Us

    Use this form to contact the DuPage County Health Department or call 630-682-7400

  2. COVID-19 Informational Presentation Request

    If you are interested in having a DCHD staff person talk with your group about coronavirus, please fill out the form below. We will... More…

  3. COVID-19 School Contact Information