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Forms & Applications

The Lincoln Trail District Board of health sets policy for the six-county health district. Responsibilities include overseeing Health Department budgets and approval of programming. Its members are appointment by the Kentucky Department for Public Health Commissioner.

Quick Links

Look Through Our Forms Below To See How We Can Help You. Click the button to download your chosen form. All completed forms should be faxed to 270-209-0403. 

Animal Bite

COVID PUI Form

Records Request

Environmental Complaint

Customer Complaint

Table of Reportable Diseases

Kentucky Immunization Registry Portal

Environmental Complaint

Customer Complaint

Records Request

Open Records

Please find the Open Records Request Forms below. To download, please click the corresponding button. After completing the form, please fax to 270-872-4284.

Medical Records

Please find the Medical Records Request Forms below. To download, please click the corresponding button. After completing the form, please fax to 270-765-7274.

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