Contact Public Health JavaScript Required You must have JavaScript enabled to use this form. Please enable JavaScript and reload the page. If you cannot enable JavaScript, please contact webadmin@cityofmadison.com to provide your information. Contact Information Name Would you like us to contact you? No, do not contact me. Yes, by email. Email Message Please do not send private health information through this form. If you need to share private health information, please call us instead at (608) 266-4821. Leave this field blank JavaScript Required You must have JavaScript enabled to use this form. Please enable JavaScript and reload the page. If you cannot enable JavaScript, please contact webadmin@cityofmadison.com to provide your information. Was this page helpful to you? Yes No Why or why not? Leave this field blank
