Forms, Reporting
- Lyme Disease Reporting Form
- Microbial Monthly Summary
- Microbial Sample Results
- Natural Disaster Incident
- Nursing Facility 5-Day Investigation
- Nursing Home Certified
- Nursing Home Licensed Only
- Occupational Exposure for a Monitoring Period
- Pediatric HIV Confidential Case Report Form
- Perinatal HIV Exposure Case Report Form
- Proposed Activity (MAT9N)
- Quarterly Radon Testing- Non-Residential
- Quarterly Radon Testing- Residential
- Radiologicals
- Radon Contractor Start Work Notification Form
- Rhode Island Family Planning Encounter Record
Forms, Request
Forms, Registration
Forms, Medical
- Medical Documentation for WIC Formula & Foods - Children
- Medical Documentation for WIC Formula & Foods - Infants
- Medical Documentation for WIC Formula & Foods - Women
- Medical Information Form for Breastfeeding/Postpartum Women
- Medical Information Form for Infants/Children
- Medical Information Form for Pregnant Women
- Medical Necessity Breast Pump Prescription
- Physician Orders for Students with Diabetes (2005)
- Portable Summary
Forms
- Medical Immunization Exemption Certificate for COVID-19 Vaccination
- Medical Marijuana Program Change of Information Form
- Medical Orders For Life Sustaining Treatment (MOLST) (Spanish)
- Minor Form
- Norovirus Outbreaks
- Nurse License Compact (NLC) Status Form
- Nurse Verification
- Onboarding Questionnaire
- Onboarding Registration of Intent
- Practitioner Written Certification Form
- Practitioner Written Certification Form for Use With Autism Spectrum Disorder Diagnosis
- Public Drinking Water RIDOH Inventory Template
- Public Drinking Water Service Line Inspection or Replacement Refusal Form
- Rabies Testing Electronic Submission Form
- Report of Adoption
- Request for National Criminal Information Center (NCIC) Background Check
- Research Data Request Form
- Resident Sample Collection
- RICAIR COVID-19 Immunization Record Correction Request
- RICAIR Immunization Record Release Form (Portuguese) (Spanish)
Forms, Referral
Forms, Logs
Forms, Plan
- My Emergency Plan Workbook (2024) (Portuguese) (Spanish)