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  1. Please complete the form below and a staff member will respond to your question or request as quickly as possible. Please allow more time for a response on evenings and weekends.

    If you have a question, you may be able to more quickly find an answer by visiting the webpage for the program you are trying to reach. Use the tabs at to find those pages. 

    Thank you!

  2. Who would you like to contact?*
  3. Any complaints or needs related to food establishments, pools, septic, vector or lodging in Kansas City should be directed to the KCMO Health Department instead.

  4. I understand this form is not secure. Any Protected Health Information that I may share in my submission is at my own risk and Clay County Public Health Center cannot guarantee its security.*
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  6. This field is not part of the form submission.