FCHD Contact Us Form

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This information remains confidential. Make sure to provide accurate information, as our staff might need to follow-up for additional details. Responses are monitored seven days a week.

Our staff will not receive any reports that are submitted using anonymously or using false phone numbers/information.

Name (Please be accurate to avoid spam filter) *

Phone Number (Please be accurate to avoid spam filter) *

Department *

Business Office (FCHD billing, FCHD daily operations)

Clinic Services ( STD Testing, Well child checks, WIC, Syringe Exchange)

Community Health (Non-COVID Media messages, Educational Programs, MAPP, etc)

Environmental Health (Restaurants, Swimming Pools, Animal Bites, Garbage/Wastage, Septic, etc)

COVID-19 Related / vaccine information

Monkeypox Related / vaccine information

Vaccine Replacement Card

If you need to schedule a clinic appointment you will need to reach out to our staff at 502-564-7647, Monday - Friday 8:00am - 4:00pm. We cannot schedule appointments from this submission form.

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