Canton City
Public Health
Amanda Archer, MPH
Health Commissioner
(330) 489-3231
(330) 489-3335 Fax
Monday - Friday
8:00 am - 4:30 pm
(Excluding Holidays)
Office Address
Canton City Public Health
420 Market Avenue, North
Canton, Ohio 44702
Driving Directions
Forms Associated with Policy 200-030-P
| Reference # | Form Title |
Latest Effective Date | Review Due Date |
| 200-030-01-F | Immunization Record Release (English) | 11/12/2025 | 11/12/2030 |
| 200-030-02-F | Immunization Record Release (Spanish) | 11/12/2025 | 11/12/2030 |
| 200-030-03-F | Authorization to Disclose Health Information (English) | 11/12/2025 | 11/12/2030 |
| 200-030-04-F | Authorization to Disclose Health Information (Spanish) | 11/12/2025 | 11/12/2030 |
