Form Center

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Customer Service Forms

  1. Customer Comment Form

    How are we doing? We want to know.

  2. Request Screening of "Resilience"

    Use this form to submit a request for a screening of "Resilience: The Biology of Stress and the Science of Hope," focused on Adverse... More…

  1. Low-Cost Dental Resources Information

    Please complete the following form to add or update your information in our low-cost dental resources list.

Event Forms

  1. COFA Islander Health Fair Community Partner Information Form

    One table and two chairs will be set up for each organization. Please note in the form is you need more than that, or another set up... More…

Healthy Communities Forms

  1. Emergency alerts sign-up for medical, dental, pharmacy, and veterinary providers

    If you are or work for a medical, dental, pharmacy, or veterinary provider in Snohomish County, please complete this form to make sure... More…

  2. Request QPR Suicide Prevention Training

    Use this form to submit a request for a training on how to recognize the warning signs of suicide and how to question, persuade, and... More…

  1. Event participation request

    Please fill out and submit this form to request Snohomish Health District staff at your health fair or other community event. We... More…

WIC/First Steps Forms

  1. Apply for WIC/First Steps

    Fill out the form to begin your application process. Snohomish Health District WIC/First Steps staff will be in touch to help you... More…

  1. Formulario para solicitar WIC