Public Records Request form

Please use the form provided below for Public Records Requests. Form can be emailed to This email address is being protected from spambots. You need JavaScript enabled to view it. , faxed to: (812) 948-2208, mailed to our office, or the completed form can be submitted to the Health Dept office at 1917 Bono Rd, New Albany, IN 47150.  The form is provided in a fillable, PDF format for your convenience. 

Floyd County Health Dept. Public Records Request Form