Contact Information
By Fax:
Public Health Emergency:
Information will be kept confidential and used only by Yakima Health District starff to conduct public health business; it will not be shared with other individuals or agencies.
Provider Name:
Last Name: Office Phone: ext
First Name: Fax:
Title: Cell Phone:
Field: Home Phone:
Specialty: Pager:
Email:
How do you wish to receive Health District Alerts (items of immediate importance)?
How do you wish to receive the bi-monthly Health District Bulletin?
Do you want all Health District correspondence to you at this office?
Are you willing to act as a consultant during a public health emergency?
If yes, please mark your areas of expertise during a public health emergency:
Animal Health Fire/Burns Radiation Biological Agents
Mass Casualties Respiratory Chemical Agents
Mass Evacuation/Sheltering Zoonotic Disease Epidemiology
Natural Disasters Other
As changes occur in your office, please complete this form.
Questions? - Please call Jonathan Frazier @ 509.249.6602 or Denny Hursh @ 509.249.6528
