All available forms used to contact the New York City Department of Health and Mental Hygiene can be found here. See the NYC.gov list for a full index of available contact forms.
And remember, for all New York City inquiries, you can also call 311 or 212 NEWYORK.
General Feedback
Contact the Commissioner's Office
Send general feedback to the Department of Health and Mental Hygiene.
Citywide Immunization Registry
Request for Reporting Forms
Request reporting forms for the Citywide Immunization Registry from the Department of Health and Mental Hygiene.
Provider Registration
Private office-based providers must register to access and report to the Registry.
Parents & Guardians Feedback Form (for issues related to Citywide Immunization only)
Your feedback and input will help the Department of Health and Mental Hygiene improve the Citywide Immunization Registry (CIR) Web site services.
Providers Feedback Form (for issues related to Citywide Immunization Registry only)
Your feedback and input will help the Department of Health and Mental Hygiene improve the Citywide Immunization Registry (CIR) Web site services.
West Nile Virus
Standing Water Monitoring Report Form
Complete this form to report standing water to the Department of Health.
Outdoor Mosquito Activity Report Form
Reporting outdoor mosquito activity can help the Department of Health and Mental Hygiene track any possibility of the West Nile Virus.
Dead Bird Monitoring Report Form
Dead bird reports may be an indicator of West Nile virus. Please use this form to report dead birds to the Department of Health and Mental Hygiene.
Smoke-Free Air Act
Smoke-Free Air Act Complaint Form
Report violations of New York City's Smoke-Free Air Act.
Pest Control
Rodent Complaint Form
Report sightings of rodents in New York City.
