School Forms

School Forms

MDCH Michigan School Building Weekly Report of Communicable Disease to Local Health Department

Completing Weekly IP-10 Form

This state form is used to notify the Livingston County Health Department when there is an occurrence of Communicable Disease (click on the link below to open form).

CD School IP-10 Report Form

Mail:

Livingston County Health Department
ATTN:  Lucy Sikora

2300 East Grand River Avenue, Suite 102
Howell, MI 48843

Secured Fax Line    (517) 545-9685