Geauga County Combined Health District
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Geauga County Health District
Publications and Forms
(Some documents on this page are Copyright © Geauga County Health District. All rights reserved.)

Environmental Health Division
     Fees
         Fees for services, licenses and permits
         Fees for Food Protection & Safety Program
        
                
     Food Safety
         A Guide to Food Safety in the Home - Before disaster strikes  (© Int'l Association for Food Protection)
         GUÍA PARA LA INOCUIDAD DE LOS ALIMENTOS - ANTES QUE OCURRA EL DESASTRE

        
ODH Food Recall Announcements

    Household Sewage Treatment Systems
         For Sale of Property Regulations
         For Sale of Property Checklist
         For Sale of Property Application and Waiver Form
         For Sale of Property Frequently Asked Questions

        
For Sale of Property Septic Tank Component Uncovered for an Inspection
         
Sewage Effluent Sample Well

         Lot Evaluation Form
        
Lot Evaluation Procedures Information Sheet

        
Homeowner Request to Install a HSTS (must be signed by homeowner)

         Septic Tank Abandonment Form

       
Updated 2/3/2008
         Geauga County Household Sewage Disposal System Regulations 3701-29 (2/3/08)
      
       Homeowner Operation and Maintenance Tips

        Geauga County Sewage, Water well & Plumbing Owner's Manual

        Is it time to clean the septic tank?

       Household Sewage System Service Providers
                List of Registered Sewage System Installers in Geauga County
                List of Registered Service Providers (including Aeration Evaluators)
                List of Registered Septic Haulers (Cleaners) in Geauga County

       Molds in the home environment
      
Question and Answers about Stachybotrys chararum and other molds
        
General Information about molds from CDC

       Nuisance Compaints
         Nuisance Complaint Form

       Plumbing
         Application for Residential Plumbing Permit  (Sample Only)
         Application for Commercial Plumbing Permit  (Sample Only)
         A memo on well water balanced flow water supply systems

                                     A memo to plumbing installers/contractors about registration
                                     Application for Plumbing Installers/Contractors
                                     List of Registered Plumbers in Geauga County


        Private Water Wells
          How to disinfect a water well
        Application for Household Water System Evaluation - Own Use
         
          For Sale of or Re-financing of Property Forms
                   
(both forms must be completed)

                           The following links are maintained by ODH and ODNR
                          
List of Registered Private Water Contractors maintained by ODH

                           Water Well Logs maintained by Ohio Dept Natural Resources

       Registered Soils Professionals
                List of Current Registered Soils Professionals in Geauga County
       
        Geauga County Household Sewage Disposal Regulation
        Section 3701-29-06
Registration of Soil Professionals
             (A) No person/firm shall perform or provide soil analysis or report for siting of a sewage
                 
disposal system unless he holds a valid registration issued to him by the Board of
Health.
             (B) Application for registration shall be in writing and contain pertinent information as
                 
required by the Board of Health. Applicable registration fee shall accompany the
                 
registration application.
                  (1) Any individual/firm applying to become a registered soil professional (soil scientist,
                      soil classifier), must possess the ARCPACS certification from the American Society
                      of Agronomy (ASA) or Ohio Pedologists.

              

                 Certification of these soil scientist is maintained by the following organizations:
                 
The Association of Ohio Pedologist under "List of Soil Consultants"

                 
American Society of Agronomy  under "Find a Certified Professional"

    Solid Waste Program
                                  List of Registered Solid Waste Haulers operating in Geauga County

    Swimming Pools and Spas
        
Fecal Accident Response - Recommendations for Pool Staff
         Six Pleas for Health Swimming - Protection Against Water Illnesses
         Swimming Pool Equipment Replacement Notification Report
         Weekly Pool/Spa Operation and Injury Report with Instructions
        

    Zoonotic Disease Reporting
         Animal Bite Report Form

Personal Health Services

     Health Fact Sheets
     Meningitis - General Fact Sheet
      
      Notice of Privacy Practice
   
Notice of Privacy Practices

     Children's Health Services

       Geauga County Health District's BCMH Handout

        Flyers/Posters Targeting Children's Health And Hygiene
          How To Wash Your Hands
         
Cover Your Cough / Clean Your Hands

      Communicable Disease Report
    
2007 YTD Report 
      2008 YTD Report  
      2009 YTD Report

      
       The following illness complaint and disease reporting forms are available in Microsoft Word
       and PDF. Select Microsoft Word if you havd Microsoft Office and would like to complete
       the form on a personal computer.

      Illness / Complaint General Questionnaire             Microsoft Word    PDF
     Use this form to report illness symtoms and exposures

    
CONFIDENTIAL Communicable Disease Report   Microsoft Word    PDF
     This report accompanies the General Questionnaire above when an individual
      has a suspected,
probable, or confirmed communicable disease
     
     Food History Report                                              
Microsoft Word    PDF
     This report acconmpanies the General Questionaire above when the illness or
     complaint warrants a three-day food history

      Varicella Reporting Form                                     
Microsoft Word    PDF


      Flowchart of Epi Reponse - How the Health District Handles An Illness Report

      Know your ABCs - A Quick Guide to Reportable Infectious Diseases in Ohio




    Flu Immunizations

    

     WIC - Women, Infants & Children
     Geauga County WIC  Income  Guidelines
     WIC Clinic Schedule
     Babies were born to be breastfed
     WIC 2010 Physician RX

 
Vital Statistics
Complete Medical Directors 2004 Death Statistics Report
Complete Medical Directors 2005 Death Statistics Report


Forms on this page require an Adobe® Acrobat Reader™ - If you don't have it, get it here

Copyright © 2003- 2009 Geauga County Health District. All rights reserved. Disclaimer.
470 Center Street, Bldg. 8, Chardon, Ohio 44024