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Forms and General VDH Documents


AIDS Drug Assistance Program (ADAP) brochure
English | Spanish


CHS - 1A Consent for Health Care - V1   | Spanish | English |


CHS - 1A Consent for Health Care - V2   | Spanish | English |


CHS - 1B Consent for Special Health Services   | Spanish | English |


CHS - 1C Application and Agreement for Payment Plan   
| Spanish | English |


Deemed Consent Poster - Chesterfield Health District   | Spanish |


Eligibility Form (Alexandria)   | Spanish | English |


Food and Shelter Form (Winchester)*   | Spanish |


PPD/Tuberculosis Skin Testing /Informed Consent   | Spanish | English |


Spanish Health History (Part 2)*   | Spanish |


VDH Confidential Health History '05 Part 1 - only accessible by VDH employees   | Spanish | English |


VDH Confidential HealthHistory '05 Part 2 - only accessible by VDH employees   | Spanish | English |


VDH STD Confidential Health History '05 - only accessible by VDH employees*   | Spanish | English |


Welcome to VDH Leaflet   | Spanish | English |


Chief Medical Examiner


Information for Family & Friends Brochure   | Spanish | English |


Emergency Medical Services


PPCR Patient Refusal   | Spanish | English |


Emergency Preparedness and Response


Anthrax Fact Sheet   | Spanish | English |


Botulism Fact Sheet   | Spanish | English |


Brucellosis Fact Sheet   | Spanish | English |


Chemical Blister Agents   | Spanish | English |


Chemical Chlorine Agents   | Spanish | English |


Chemical Nerve Agents   | Spanish | English |


Dirty Bomb   | Spanish | English |


Nuclear Bomb   | Spanish | English |


Nuclear Power Plant Accident   | Spanish | English |


Pandemic Flu   | Spanish | English |


Pandemic Flu (Federal Website)   | Spanish |


Plague   | Spanish | English |


Public Health Emergency Wallet Card   | Spanish | English |


Recin Toxins   | Spanish | English |


Small Pox Disease Fact Sheet   | Spanish | English |


Small Pox Vaccine Fact Sheet   | Spanish | English |


Tularemia   | Spanish | English |


Unknown Chemical Exposure   | Spanish | English |


Viral Hemorrhagic Fever   | Spanish | English |


Epidemiology

General | Immunization | Sexually Transmitted Diseases |
Zoonotic and Environmental Epidemiology


General


AIDS Drug Assistance Program (ADAP) brochure   | English | Spanish |


Arboviral Infection   | English | Spanish |


Aseptic Meningitis (a.k.a., Viral Meningitis)  | English | Spanish |


Viral Hemorrhagic Fever   | Spanish | English |


Immunization


Spanish Videotapes Available for Loan from VDH, Division of Immunization   | Spanish | English |


Sexually Transmitted Diseases


National HIV Testing Day   | Spanish | English |


Brochures for Order - These brochures are available in the languages below. Pictures are not available for all. Most of the brochures can be ordered here.

Abstinence - Saying "NO" to Sex   | Spanish | English |

ADAP: Information for Parents   | Spanish | English |

Anyone Can get HIV AIDS   | Spanish | English |

Genital Warts and HPV - What You Need to Know   | Spanish | English |

Hepatitis C - What You Should Know   | Spanish | English |

HIV Anitbody Testing   | Spanish | English |

HIV - Women Get It Too!   | Spanish | English |

It's Your Body Respect It Protect It!   | Spanish | English |

Sexually Transmitted Diseases   | Spanish | English |

So You Think Chlamydia is a Flower!   | Spanish | English |

What About This Disease Called Chlamydia   | Spanish | English |

Young People Get HIV   | Spanish | English |

You, Your Baby and HIV   | Spanish | English |


Brochures to Print (pdf open in adobe acrobat reader and can then be printed)

Do I Need a TB Skin Test?   | Spanish | English |

Just the Facts About BCG and TB   | Spanish | English |

Stop TB Infection Before it Makes You Sick   | Spanish | English |

TB and HIV: A Dangerous Partnership   | Spanish | English |

TB Disease: You Need Treatment to Make You Well   | Spanish | English |

What is a TB Skin Test?   | Spanish | English |

What You Should Know About Taking Tuberculosis Medicines   | Spanish | English |


Zoonotic and Environmental Epidemiology


Hantavirus brochure   | Spanish | English |


Harmful Algal Blooms & Other Organisms of Concern in Coastal Waters   | Spanish | English |


Rabies brochure   | Spanish | English |


Tick Brochure   | Spanish | English |


Safely Enjoying Virginia's Waters brochure    | Spanish | English |


Family Health Services

Abstinence | Dental | Early Hearing Detection |
Every Woman's Life | Family Planning | Folic Acid | Genetics | Injury and Violence Prevention | Lead


Abstinence


Abstinence & Teen Pregnancy Posters   | Spanish | English |


Dare to See Things Differently Poster   | Spanish | English |


Fathers Make a Difference!   | Spanish | English |


Helping Kids Say "No"   | Spanish | English |


How to be an "Ask-able" Parent   | Spanish | English |


Interconnections of Risk Behaviors   | Spanish | English |


Mothers Influence on Daughter's Sexual Behaviors   | Spanish | English |


Navigating Teen Years Helpful Tips for Parents   | Spanish | English |


Pointers for Parents   | Spanish | English |


Virginia Abstinence Education Initiative: Parents   | Spanish | English |


What Are Kids Thinking These Days?   | Spanish | English |


Dental


A Healthy Diet is Something to Smile About   | Spanish | English |


Baby's First Step to Health Teeth   | Spanish | English |


Don't Run Out of Time For a Healthy Smile   | Spanish | English |


Oral Health: Self Exam for Oral Cancer   | Spanish | English |


Seal Away Tooth Decay   | Spanish | English |


Smile for Good Health   | Spanish | English |


Swish Away Decay   | Spanish | English |


Why Floss?   | Spanish | English |


Early Hearing Detection


Information for Parents of Children with Hearing Loss, Virginia's Resource Guide for Parents   
| Spanish | English |


Virginia's Newborn Hearing Screening Program   | Spanish | English |


Every Woman's Life


Every Woman's Life: Cervical/Breast Cancer Detection   | Spanish | English |


Every Woman's Life: New Patient Fact Sheet   | Spanish | English |


Family Planning*


ABC's About Sex   | Spanish | English |


Birth Control Patch   | Spanish | English |


Cycle Beads   | Spanish | English |


Depo Provera   | Spanish | English |


Emergency Contraceptive   | Spanish | English |


IUD   | Spanish | English |


Nuvaring - Inside brochure   | Spanish | English |


Nuvaring - Outside brochure   | Spanish | English |


Pelvic Exam   | Spanish | English |


Vaginal Health Care   | Spanish | English |


Folic Acid


Folic Acid: Now You're Talking Healthy!

Bookmark   | Spanish | English |

Brochure   | Spanish | English |

Poster   | Spanish | English |

Storyboard  | Spanish | English |


Genetics


Anencephaly   | Spanish | English |


Cleft Lip and Cleft Palate   | Spanish | English |


Club Foot   | Spanish | English |


Congenital Heart Defects   | Spanish | English |


Down Syndrome  | Spanish | English |


Hypospadias   | Spanish | English |


Screening Tests for Your Baby   | Spanish | English |


Spina Bifida   | Spanish | English |


Trisomey 13   | Spanish | English |


Trisomy 18   | Spanish | English |


Virginia Congenital Anomalies Reporting and Education System (VaCares)   | Spanish | English |


What Every Family Should Know About Preventing Birth Defects   | Spanish | English |


Injury and Violence Prevention


Avoiding Sexual Coercion   | Spanish | English |


Bicycle and Skate

Safety   | Spanish | English |

Brochure   | Spanish | English |

Poster   | Spanish | English |


Bullying Prevention   | Spanish | English |


Child Passenger Safety   | Spanish | English |


Choking and Strangulation Prevention   | Spanish | English |


Domestic Violence Prevention   | Spanish | English |


Drowning Prevention   | Spanish | English |


Fall Prevention for Children   | Spanish | English |


Fire and Fall Prevention for Older Adults   | Spanish | English |


Fire Safety   | Spanish | English |


Gun Safety   | Spanish | English |


Inhalant Abuse Prevention   | Spanish | English


Para Mi Hija  | Spanish |


Pedestrian & School Bus Safety   | Spanish | English |


Playground Safety   | Spanish | English |


Rape and Sexual Violence Prevention   | Spanish | English |


Suicide Prevention   | Spanish | English |


Sweet Dreams, Safe Sleep for Babies   | Spanish | English |


Teen Dating Violence Prevention for Parents of Teens   | Spanish | English |


Walk Smart, Virginia!

Brochure   | Spanish | English |

Poster   | Spanish | English |

Toolkit   | Spanish | English |


Lead


Before Your Baby Begins to Walk, Learn About Lead Poisoning   | Spanish | English |


Keep It Clean brochure   | Spanish | English |


Lead Poisoning and Your Children   | Spanish | English |


Protect Your Family From Lead in Your Home   | Spanish | English |


Reducing Lead Hazards When Remodeling Your Home   | Spanish | English |


Tenant Lead Hazard Disclosure Presentation   | Spanish | English |


When You Moved Into This Building, Were You Told About Lead Hazards?   | Spanish | English |


Vital Records


Application for Certification of a Vital Record   | Spanish | English |


Women, Infants and Children Program


Family Planning Order Form - Publications are available in Spanish   | English |


Healthbites   | Spanish | English |


Healthbites: After Delivery | Spanish | English |

Healthbites: After Delivery - Fruits & Vegetables   | Spanish | English |

Healthbites: After Delivery - Milk Matters   | Spanish | English |


Healthbites: Babies   | Spanish | English |

Healthbites: Babies - Breastfeeding  | Spanish | English |

Healthbites: Babies - Solid Foods   | Spanish | English |


Healthbites: Cookbook   | Spanish | English |


Healthbites: Family

Bean Energy   | Spanish | English |

Bean Heart   | Spanish | English |

Bean Production   | Spanish | English |

Bean World   | Spanish | English |

Fast Food   | Spanish | English |

Food Safety   | Spanish | English |

Lactose Intolerant   | Spanish | English |

Meal Planning   | Spanish | English |

Sodium   | Spanish | English |


Healthbites: Preschoolers   | Spanish | English |

Importance of Breakfast   | Spanish | English |

Meal Time   | Spanish | English |

Snacks   | Spanish | English |

Too Much TV   | Spanish | English |


Healthbites: Pregnancy   | Spanish | English |

Healthy Snacks   | Spanish | English |

Developmental Stages   | Spanish | English |

Fruits & Vegetables  | Spanish | English |

Milk is Important   | Spanish | English |

Constipation   | Spanish | English |

Iron  | Spanish | English |


Healthbites: Toddlers    | Spanish | English |

Milk   | Spanish | English |

Fussy Eaters   | Spanish | English |

Meal Hour   | Spanish | English |

Play   | Spanish | English |

Snacks   | Spanish | English |

Utensils   | Spanish | English |

Water   | Spanish | English |


Healthbites: Resources   | Spanish | English |


Other


Rappahannock Area Health District Food Services Procedures Documents and Forms   
| Spanish | English |


Virginia Hurricane Guide - Hampton Roads Region   | Spanish | English |


*This document is only accessible by VDH employees


Last Updated: 04-28-2010

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