Looking for PATIENT FORMS? Click Here: PATIENT FORMS
COMMISSIONER’S OFFICE
COMMUNICATIONS
DISTRICT AND COUNTY OPERATIONS
DISCIPLINARY ACTIONS
- Policy HR-03624 Process for review of written reprimands
- HR-03624A Reprimand Review Form
- HR-03626 Disciplinary & Dismissal Actions – Classified
- Policy HR-03627 Disciplinary & Separation Actions
- HR03627-B Recommended Disciplinary Action Separation Decision For Unclassified
DISPUTE RESOLUTION
- HR-03621 Employee Complaint Resolution
- HR-03621-A Complaint Notice Form
- HR-03621-B Employee Complaint Form
- HR-03621-C Complaint Group Roster Form
FAMILY AND MEDICAL LEAVE
- HR-03431 Family & Medical Leave
- FMLA Request Form
- Serious Health Condition Certification SELF
- Serious Health Condition Certification FAMILY
- Certification of Adoption/Foster Care
- Certification of Qualifying Exigency
- HR-03432 Leave Donation
- HR03432A DPH Request to Solicit Leave Donations
- HR-03432B Leave Donation Solicitation Dept of Public Health
- HR-03432C – Leave Donation Authorization
GENERAL
- HR-03001 Equal Opportunity and Unlawful Discrimination
- HR-03002 Sexual Harassment Policy
- HR-03003 Access to DPH Personnel
- HR-03005 Assignment of Duties
- HR-03007 Administrative Closing of Offices
- HR-03008 Notices Required to be Posted
- NEHD Tobacco Free Workplace Policy
- HR-03105 Classification
- HR-03106 Veterans Preference
- HR-03110 Re-employment of Retirees and use of Former Employees
- HR-03113 Verifying Identity & Employment Eligibility
- HR-03121 Employment Information Policy
- HR-03123 Official Personnel Files
- HR-03123-A Documents retained in Personnel files Form
- HR-03123-B Separately maintained personnel file documents form
- HR-03123C Notification of Purged Records
- HR-03124 Probationary Period
- HR-03412 Inclement Weather & Emergency Policy
- HR-03611 Alcohol and Drug-Free Workplace
- HR-03704 Americans with Disabilities Act Policy
- HR-03902 Secondary Employment
- HR-03902A Request for Approval of Secondary Employment
HOLIDAYS
LEAVE/TIME SHEETS
- HR-03421 Administration of Employee Leave Program
- HR-03422 Absence from Work
- HR-03423 Leave of Absence without Pay
- HR-03425 Military Leave
- HR03425A Military Approval Letter Form
- HR-03426 Short-term leave without pay
- HR-03428 Misc Leave
- HR-03431 Family & Medical Leave
- HR-03432 Leave Donation
- HR-03432B Leave Donation Solicitation Dept of Public Health
- NEHD Leave Form
- HR-03427 FLSA & State Compensatory Time
LICENSURE/CERTIFICATIONS
MISCELLANEOUS
- EP-10002 Sus Pkg & Bomb Threat
- HR-03413 Visitors in the Workplace
- Dress Code Policy NEHD 2015
- HR-03623 Unlawful Discrimination Complaint
- GC-09011-B Discrimination Complaint Form
- HR03628A Grant Funded Position Acknowledgement Form
PROMOTION/DEMOTION/TRANSFERS
SEPARATION FROM EMPLOYMENT
STANDARDS OF EMPLOYMENT
- HR-03601 Standards of Conduct and Professional Appearance
- HR-03402 Official Hours and Work Schedules
- Overtime Notification (NOT pre-authorized)
- Overtime Pre-Authorization Request
TRAVEL
- FN06002 Employee Group Meals & Healthy Meetings
- FN06002A – Group Meal Request Form
- FN06002B – Group Meal Expense Reimbursement Form
- NEHD Travel Reimbursement Form (2021)
- SOG_Statewide_Travel_Policy
- NEHD Out of District Travel Form
HEALTH PROTECTION
- Bloodborne Pathogen Policy
- Child Abuse Reporting Guidelines
- Northeast Public Health District 10-0 Respiratory Protection Program
PHARMACY
- PT-18001 Georgia ADAP and APRN Prescriptive Authority for Nurses Not Employed by Public Health
- PT-18002 Physician Assistant Assisted Aids Drug Assistance Program (ADAP) Provider Status
INSPECTOR GENERAL-INVESTIGATIONS
INFORMATION TECHNOLOGY
- IS-15003 IS Governance Council Review
- IS-15003A Gov Council Project Charter Form
- IT-13002 Information Security Program
- IT-13005 Use of Comp Equip, Wireless Devices and Internet
- IT-15002 Public Health Active Communications Exchange Usage (PHACE)
- IT-13008 Overall Information Security Policy
- NEHD Electronic Device and Internet Policy
LEGAL
- GC-09001 Ethics & Conflict of Interest
- GC-09001A Ethics Policy – Acknowledgement Form
- GC-09002 Public Open Records
- GC-09004A DOAS Risk Management Liability Incident Report Form
- GC-09006 Intern and Volunteer Policy
- GC-09006A Student Affiliation Agreement
- GC-09006B Intern and Volunteer Confidentiality Agreement Form
- GC-09006C Intern and Volunteer Business Associate Agreement
- GC-09006D Intern and Volunteer Information Form
- GC-09006E Intern and Volunteer Conduct Criminal History & Background
- GC-09006F Intern and Volunteer Fair Credit Reporting Authorization
- GC-09006G State Security Questionnaire Loyalty Oath
- GC-09006H Criminal History Policy Awareness Statement
- GC-09008 Alien Residency Verification
- CG09008A Contractor Affidavit
- GC09008B Verification of Public Benefits Affidavit
- GC09008C Verification of Residency for License Application Affidavit
- Confidentiality Agreement
- Confidentiality Statement for Employees
- Confidentiality Statement for Non-Employees
- GC-09009 Institutional Review Board
- GC-09010 Receipt of Legal Documents
- CDC Implementation of Anti-Lobbying Restrictions
- GC-09011 Limited English Proficiency/Sensory Impairment/Disabilities Services
- GC-09011-A Intake and Tracking form
- GC-09011-B Discrimination Complaint Form
- GC-09011-C Formato Para Quejas Por Discriminacion
- GC-09012 Political Activity
- Retention Schedule for paper and Electronic Records
LEGAL- PRIVACY- HIPAA
- GC-09013 Confidentiality of Personal Health Information and Compliance with HIPAA
- Form GC-9013A Business Associate Agreement
- Form GC-9013B Notice of Privacy Practices
- Form GC-9013B AVISO DE PRÁCTICAS DE PRIVACIDAD
- Form GC-9013C Authorization to Release Public Health Information
- Form GC-9013C AUTORIZACIÓN PARA LA DIVULGACIÓN DE INFORMACIÓN DE SALUD PROTEGIDA
- Form GC-9013D Authorization to Release Psychotherapy Notes
- Form GC-9013D AUTORIZACIÓN PARA LA DIVULGACIÓN DE NOTAS DE PSICOTERAPIA
- Form GC-9013E Public Health Information Security Incident
- Form GC-9013F Technological Safeguards
OPERATIONS-FACILITIES AND SUPPORT SERVICES
Last Updated on December 7, 2022