{"id":273,"date":"2019-10-09T16:10:22","date_gmt":"2019-10-09T23:10:22","guid":{"rendered":"https:\/\/cookcountypublichealth.org\/firstresponder\/?page_id=273"},"modified":"2025-02-07T12:41:32","modified_gmt":"2025-02-07T18:41:32","slug":"register","status":"publish","type":"page","link":"https:\/\/cookcountypublichealth.org\/firstresponder\/register\/","title":{"rendered":"Register"},"content":{"rendered":"[et_pb_section fb_built=&#8221;1&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; module_class=&#8221;background-overlay&#8221; _builder_version=&#8221;3.26.6&#8243; background_image=&#8221;https:\/\/cookcountypublichealth.org\/firstresponder\/wp-content\/uploads\/sites\/5\/2019\/10\/pharmaceutical-needs.jpg&#8221; custom_padding=&#8221;110px||110px||true|false&#8221; custom_padding_tablet=&#8221;58px||58px||false|false&#8221; custom_padding_phone=&#8221;50px||50px||false|false&#8221;][et_pb_row _builder_version=&#8221;3.26.6&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.26.6&#8243;][et_pb_text admin_label=&#8221;Register&#8221; module_class=&#8221;red-block&#8221; _builder_version=&#8221;3.26.6&#8243; background_layout=&#8221;dark&#8221;]\n<h1>Register<\/h1>\n[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;3.22&#8243;][et_pb_row column_structure=&#8221;1_4,1_2,1_4&#8243; admin_label=&#8221;row&#8221; _builder_version=&#8221;3.25&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text admin_label=&#8221;Registering First Responder&#8221; module_class=&#8221;reg_done_hide&#8221; _builder_version=&#8221;3.26.6&#8243;]\n<h2>Registering First Responder<\/h2>\n[\/et_pb_text][et_pb_divider color=&#8221;#0b4da3&#8243; divider_weight=&#8221;5px&#8221; admin_label=&#8221;Blue Divider &#8211; left&#8221; module_class=&#8221;reg_done_hide&#8221; _builder_version=&#8221;3.26.6&#8243; width=&#8221;75px&#8221; module_alignment=&#8221;left&#8221;][\/et_pb_divider][et_pb_text admin_label=&#8221;Welcome Text&#8221; module_class=&#8221;reg_done_hide&#8221; _builder_version=&#8221;3.26.6&#8243; locked=&#8221;off&#8221;]Welcome to the Cook County Department of Public Health (CCDPH) First Responder Resource Site. This site provides information on public health planning for suburban Cook County municipal first responders.[\/et_pb_text][et_pb_text disabled_on=&#8221;on|on|on&#8221; admin_label=&#8221;Registration Form&#8221; _builder_version=&#8221;3.26.6&#8243; disabled=&#8221;on&#8221;]\r\n<div class=\"registration_form_container\">\r\n\t<span class=\"login_link\">Already have Account? <a href=\"https:\/\/cookcountypublichealth.org\/firstresponder\/login\/\">Click here to login<\/a><\/span>\r\n\t\t<form id=\"registration_form\" class=\"login_form\" action=\"\" method=\"POST\">\r\n\t\t<fieldset>\r\n\t\t\t\r\n\t\t\t\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f344-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"344\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/firstresponder\/wp-json\/wp\/v2\/pages\/273#wpcf7-f344-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"344\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.6\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f344-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7dtx_version\" value=\"5.0.6\" \/>\n<\/fieldset>\n<p><br \/>\n<label for=\"user_Login\">Username<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"user_login\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text user_login\" id=\"user_login\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"user_login\" \/><\/span>\n<\/p>\n<p><br \/>\n<label for=\"user_email\">Email<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"user_email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-text wpcf7-validates-as-email user_email\" id=\"user_email\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"user_email\" \/><\/span>\n<\/p>\n<p><br \/>\n<label for=\"user_first\">First Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"user_first\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text user_first\" id=\"user_first\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"user_first\" \/><\/span>\n<\/p>\n<p><br \/>\n<label for=\"user_last\">Last Name<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"user_last\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text user_last\" id=\"user_last\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"user_last\" \/><\/span>\n<\/p>\n<p><br \/>\n<label for=\"user_municipality\">Municipality<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"user_municipality\"><select class=\"wpcf7-form-control wpcf7-select user_municipality\" id=\"user_municipality\" aria-invalid=\"false\" name=\"user_municipality\"><option value=\"\">Select Municipality<\/option><option value=\"Alsip\">Alsip<\/option><option value=\"Laraway Communications (Dispatch)\">Laraway Communications (Dispatch)<\/option><option value=\"Arlington Heights\">Arlington Heights<\/option><option value=\"Barrington\">Barrington<\/option><option value=\"Barrington Hills\">Barrington Hills<\/option><option value=\"Bedford Park\">Bedford Park<\/option><option value=\"Bellwood\">Bellwood<\/option><option value=\"Berkeley\">Berkeley<\/option><option value=\"Berwyn\">Berwyn<\/option><option value=\"Blue Island\">Blue Island<\/option><option value=\"Bridgeview\">Bridgeview<\/option><option value=\"Broadview\">Broadview<\/option><option value=\"Brookfield\">Brookfield<\/option><option value=\"Bud&#039;s Ambulance\">Bud&#039;s Ambulance<\/option><option value=\"Bud&#039;s\/Daley Ambulance\">Bud&#039;s\/Daley Ambulance<\/option><option value=\"Buffalo Grove\">Buffalo Grove<\/option><option value=\"Burnham\">Burnham<\/option><option value=\"Calumet City\">Calumet City<\/option><option value=\"Calumet Park\">Calumet Park<\/option><option value=\"Chicago Heights\">Chicago Heights<\/option><option value=\"Chicago Ridge\">Chicago Ridge<\/option><option value=\"Cicero\">Cicero<\/option><option value=\"Country Club Hill\">Country Club Hill<\/option><option value=\"Countryside\">Countryside<\/option><option value=\"Crestwood\">Crestwood<\/option><option value=\"Des Plaines\">Des Plaines<\/option><option value=\"Dixmoor\">Dixmoor<\/option><option value=\"Dolton\">Dolton<\/option><option value=\"East Hazel Crest\">East Hazel Crest<\/option><option value=\"ECom911\">ECom911<\/option><option value=\"Elk Grove Village\">Elk Grove Village<\/option><option value=\"Elmwood Park\">Elmwood Park<\/option><option value=\"Evergreen Park\">Evergreen Park<\/option><option value=\"Flossmoor\">Flossmoor<\/option><option value=\"Ford Heights\">Ford Heights<\/option><option value=\"Forest Park\">Forest Park<\/option><option value=\"Franklin Park\">Franklin Park<\/option><option value=\"Garden Homes\">Garden Homes<\/option><option value=\"Garden Homes Fire Protection District\">Garden Homes Fire Protection District<\/option><option value=\"Glencoe\">Glencoe<\/option><option value=\"Glenview\">Glenview<\/option><option value=\"Glenwood\">Glenwood<\/option><option value=\"Golf\">Golf<\/option><option value=\"Harvey\">Harvey<\/option><option value=\"Harwood Heights\">Harwood Heights<\/option><option value=\"Hazel Crest\">Hazel Crest<\/option><option value=\"Hickory Hills\">Hickory Hills<\/option><option value=\"Hillside\">Hillside<\/option><option value=\"Hodgkins\">Hodgkins<\/option><option value=\"Hoffman Estates\">Hoffman Estates<\/option><option value=\"Hometown\">Hometown<\/option><option value=\"Hometown FPD\">Hometown FPD<\/option><option value=\"Homewood\">Homewood<\/option><option value=\"Indian Head Park\">Indian Head Park<\/option><option value=\"Inverness\">Inverness<\/option><option value=\"Justice\">Justice<\/option><option value=\"Kenilworth\">Kenilworth<\/option><option value=\"LaGrange\">LaGrange<\/option><option value=\"LaGrange Park\">LaGrange Park<\/option><option value=\"Lansing\">Lansing<\/option><option value=\"Lemont\">Lemont<\/option><option value=\"Lemont Fire Protection District\">Lemont Fire Protection District<\/option><option value=\"Lincolnwood\">Lincolnwood<\/option><option value=\"Lynwood\">Lynwood<\/option><option value=\"Lyons\">Lyons<\/option><option value=\"Maine Township\">Maine Township<\/option><option value=\"Markham\">Markham<\/option><option value=\"Matteson\">Matteson<\/option><option value=\"Maywood\">Maywood<\/option><option value=\"McCook\">McCook<\/option><option value=\"Melrose Park\">Melrose Park<\/option><option value=\"Merionnette Park\">Merionnette Park<\/option><option value=\"Midlothian\">Midlothian<\/option><option value=\"Morton Grove\">Morton Grove<\/option><option value=\"Mt. Prospect\">Mt. Prospect<\/option><option value=\"Munster, IN\">Munster, IN<\/option><option value=\"Niles\">Niles<\/option><option value=\"Norridge\">Norridge<\/option><option value=\"North Maine FPD\">North Maine FPD<\/option><option value=\"North Palos Fire Protection District\">North Palos Fire Protection District<\/option><option value=\"North Riverside\">North Riverside<\/option><option value=\"Northbrook\">Northbrook<\/option><option value=\"Northfield\">Northfield<\/option><option value=\"Northlake\">Northlake<\/option><option value=\"Oak Forest\">Oak Forest<\/option><option value=\"Oak Lawn\">Oak Lawn<\/option><option value=\"Olympia Fields\">Olympia Fields<\/option><option value=\"Orland Fire Protection District\">Orland Fire Protection District<\/option><option value=\"Orland Hills\">Orland Hills<\/option><option value=\"Orland Park\">Orland Park<\/option><option value=\"Palatine\">Palatine<\/option><option value=\"Palatine Rural Fire Protection District\">Palatine Rural Fire Protection District<\/option><option value=\"Palos Fire Protection District\">Palos Fire Protection District<\/option><option value=\"Palos Heights\">Palos Heights<\/option><option value=\"Palos Heights Fire Protection District\">Palos Heights Fire Protection District<\/option><option value=\"Palos Hills\">Palos Hills<\/option><option value=\"Palos Park\">Palos Park<\/option><option value=\"Park Forest\">Park Forest<\/option><option value=\"Park Ridge\">Park Ridge<\/option><option value=\"Phoenix\">Phoenix<\/option><option value=\"Posen\">Posen<\/option><option value=\"Prospect Heights\">Prospect Heights<\/option><option value=\"Richton Park\">Richton Park<\/option><option value=\"River Forest\">River Forest<\/option><option value=\"River Grove\">River Grove<\/option><option value=\"Riverdale\">Riverdale<\/option><option value=\"Riverside\">Riverside<\/option><option value=\"Robbins\">Robbins<\/option><option value=\"Roberts Fire Protection District\">Roberts Fire Protection District<\/option><option value=\"Roberts Park Fire Protection District\">Roberts Park Fire Protection District<\/option><option value=\"Rolling Meadows\">Rolling Meadows<\/option><option value=\"Rosemont\">Rosemont<\/option><option value=\"Sauk Village\">Sauk Village<\/option><option value=\"Schaumburg\">Schaumburg<\/option><option value=\"Schiller Park\">Schiller Park<\/option><option value=\"South Barrington\">South Barrington<\/option><option value=\"South Chicago Heights\">South Chicago Heights<\/option><option value=\"South Com Dispatch\">South Com Dispatch<\/option><option value=\"South Holland\">South Holland<\/option><option value=\"SSC Public Safety\/PD\">SSC Public Safety\/PD<\/option><option value=\"Steger\">Steger<\/option><option value=\"Stone Park\">Stone Park<\/option><option value=\"Streamwood\">Streamwood<\/option><option value=\"Summit\">Summit<\/option><option value=\"Thornton\">Thornton<\/option><option value=\"Tinley Park\">Tinley Park<\/option><option value=\"Westchester\">Westchester<\/option><option value=\"Western Springs\">Western Springs<\/option><option value=\"Wheeling\">Wheeling<\/option><option value=\"Willow Springs\">Willow Springs<\/option><option value=\"Wilmette\">Wilmette<\/option><option value=\"Winnetka\">Winnetka<\/option><option value=\"Worth\">Worth<\/option><\/select><\/span>\n<\/p>\n<p><br \/>\n<label for=\"user_region\">Region<\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"user_region\"><select class=\"wpcf7-form-control wpcf7-select user_region\" id=\"user_region\" aria-invalid=\"false\" name=\"user_region\"><option value=\"\">Select Region<\/option><option value=\"North\">North<\/option><option value=\"West\">West<\/option><option value=\"South\">South<\/option><\/select><\/span>\n<\/p><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"152\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\t\t\t<p>\r\n\t\t\t\t<input type=\"hidden\" name=\"register_nonce\" value=\"80659824b4\"\/>\r\n\t\t\t\t<input type=\"submit\" class=\"btn custom_btn\" value=\"Register\"\/>\r\n\t\t\t<\/p>\r\n\t\t<\/fieldset>\r\n\t<\/form>\r\n<\/div>\r\n[\/et_pb_text][et_pb_text admin_label=&#8221;Registration Form&#8221; _builder_version=&#8221;3.26.6&#8243;]\n<p><span class=\"login_link\">Already have Account? <a href=\"\/firstresponder\/login\/\">login <\/a><\/span><\/p>\n<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 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enctype='multipart\/form-data'  id='gform_6'  action='\/firstresponder\/wp-json\/wp\/v2\/pages\/273' data-formid='6' novalidate>\n                        <div class='gform-body gform_body'><div id='gform_fields_6' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_6_3\" class=\"gfield gfield--type-username field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_3'>Username<\/label><div class='ginput_container ginput_container_text'><input name='input_3' id='input_6_3' type='text' value='' class='large'  aria-describedby=\"input_6_3_desc\"    aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_6_9\" class=\"gfield gfield--type-name gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Name<\/legend><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_6_9'>\n                            \n                            <span id='input_6_9_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_9.3' id='input_6_9_3' value=''   aria-required='false'     \/>\n                                                    <label for='input_6_9_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_6_9_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_9.6' id='input_6_9_6' value=''   aria-required='false'     \/>\n                                                    <label for='input_6_9_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/fieldset><div id=\"field_6_8\" class=\"gfield gfield--type-email gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_8'>Email<\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_8' id='input_6_8' type='email' value='' class='large'     aria-invalid=\"false\"  \/>\n                        <\/div><\/div><fieldset id=\"field_6_5\" class=\"gfield gfield--type-password field_sublabel_below gfield--no-description field_description_below 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aria-invalid=\"false\" \/>\n\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<label for='input_6_5_2' class='gform-field-label gform-field-label--type-sub '>Confirm Password<\/label>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<div class='gf_clear gf_clear_complex'><\/div>\n\t\t\t\t\t<\/div><\/fieldset><div id=\"field_6_6\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_6'>Municipality<\/label><div class='ginput_container ginput_container_select'><select name='input_6' id='input_6_6' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='Alsip' >Alsip<\/option><option value='Laraway Communications (Dispatch)' >Laraway Communications (Dispatch)<\/option><option value='Arlington Heights' >Arlington Heights<\/option><option value='Barrington' >Barrington<\/option><option value='Barrington Hills' >Barrington Hills<\/option><option value='Bedford Park' >Bedford Park<\/option><option value='Bellwood' >Bellwood<\/option><option value='Berkeley' >Berkeley<\/option><option value='Berwyn' >Berwyn<\/option><option value='Blue Island' >Blue Island<\/option><option value='Bridgeview' >Bridgeview<\/option><option value='Broadview' >Broadview<\/option><option value='Brookfield' >Brookfield<\/option><option value='Bud&#039;s Ambulance' >Bud&#039;s Ambulance<\/option><option value='Bud&#039;s\/Daley Ambulance' >Bud&#039;s\/Daley Ambulance<\/option><option value='Buffalo Grove' >Buffalo Grove<\/option><option value='Burnham' >Burnham<\/option><option value='Calumet City' >Calumet City<\/option><option value='Calumet Park' >Calumet Park<\/option><option value='Chicago Heights' >Chicago Heights<\/option><option value='Chicago Ridge' >Chicago Ridge<\/option><option value='Cicero' >Cicero<\/option><option value='Country Club Hill' >Country Club Hill<\/option><option value='Countryside' >Countryside<\/option><option value='Crestwood' >Crestwood<\/option><option value='Des Plaines' >Des Plaines<\/option><option value='Dixmoor' >Dixmoor<\/option><option value='Dolton' >Dolton<\/option><option value='East Hazel Crest' >East Hazel Crest<\/option><option value='ECom911' >ECom911<\/option><option value='Elk Grove Village' >Elk Grove Village<\/option><option value='Elmwood Park' >Elmwood Park<\/option><option value='Evergreen Park' >Evergreen Park<\/option><option value='Flossmoor' >Flossmoor<\/option><option value='Ford Heights' >Ford Heights<\/option><option value='Forest Park' >Forest Park<\/option><option value='Franklin Park' >Franklin Park<\/option><option value='Garden Homes' >Garden Homes<\/option><option value='Garden Homes Fire Protection District' >Garden Homes Fire Protection District<\/option><option value='Glencoe' >Glencoe<\/option><option value='Glenview' >Glenview<\/option><option value='Glenwood' >Glenwood<\/option><option value='Golf' >Golf<\/option><option value='Harvey' >Harvey<\/option><option value='Harwood Heights' >Harwood Heights<\/option><option value='Hazel Crest' >Hazel Crest<\/option><option value='Hickory Hills' >Hickory Hills<\/option><option value='Hillside' >Hillside<\/option><option value='Hodgkins' >Hodgkins<\/option><option value='Hoffman Estates' >Hoffman Estates<\/option><option value='Hometown' >Hometown<\/option><option value='Hometown FPD' >Hometown FPD<\/option><option value='Homewood' >Homewood<\/option><option value='Indian Head Park' >Indian Head Park<\/option><option value='Inverness' >Inverness<\/option><option value='Justice' >Justice<\/option><option value='Kenilworth' >Kenilworth<\/option><option value='LaGrange' >LaGrange<\/option><option value='LaGrange Park' >LaGrange Park<\/option><option value='Lansing' >Lansing<\/option><option value='Lemont' >Lemont<\/option><option value='Lemont Fire Protection District' >Lemont Fire Protection District<\/option><option value='Lincolnwood' >Lincolnwood<\/option><option value='Lynwood' >Lynwood<\/option><option value='Lyons' >Lyons<\/option><option value='Maine Township' >Maine Township<\/option><option value='Markham' >Markham<\/option><option value='Matteson' >Matteson<\/option><option value='Maywood' >Maywood<\/option><option value='McCook' >McCook<\/option><option value='Melrose Park' >Melrose Park<\/option><option value='Merionnette Park' >Merionnette Park<\/option><option value='Midlothian' >Midlothian<\/option><option value='Morton Grove' >Morton Grove<\/option><option value='Mt. Prospect' >Mt. Prospect<\/option><option value='Munster, IN' >Munster, IN<\/option><option value='Niles' >Niles<\/option><option value='Norridge' >Norridge<\/option><option value='North Maine FPD' >North Maine FPD<\/option><option value='North Palos Fire Protection District' >North Palos Fire Protection District<\/option><option value='North Riverside' >North Riverside<\/option><option value='Northbrook' >Northbrook<\/option><option value='Northfield' >Northfield<\/option><option value='Northlake' >Northlake<\/option><option value='Oak Forest' >Oak Forest<\/option><option value='Oak Lawn' >Oak Lawn<\/option><option value='Olympia Fields' >Olympia Fields<\/option><option value='Orland Fire Protection District' >Orland Fire Protection District<\/option><option value='Orland Hills' >Orland Hills<\/option><option value='Orland Park' >Orland Park<\/option><option value='Palatine' >Palatine<\/option><option value='Palatine Rural Fire Protection District' >Palatine Rural Fire Protection District<\/option><option value='Palos Fire Protection District' >Palos Fire Protection District<\/option><option value='Palos Heights' >Palos Heights<\/option><option value='Palos Heights Fire Protection District' >Palos Heights Fire Protection District<\/option><option value='Palos Hills' >Palos Hills<\/option><option value='Palos Park' >Palos Park<\/option><option value='Park Forest' >Park Forest<\/option><option value='Park Ridge' >Park Ridge<\/option><option value='Phoenix' >Phoenix<\/option><option value='Posen' >Posen<\/option><option value='Prospect Heights' >Prospect Heights<\/option><option value='Richton Park' >Richton Park<\/option><option value='River Forest' >River Forest<\/option><option value='River Grove' >River Grove<\/option><option value='Riverdale' >Riverdale<\/option><option value='Riverside' >Riverside<\/option><option value='Robbins' >Robbins<\/option><option value='Roberts Fire Protection District' >Roberts Fire Protection District<\/option><option value='Roberts Park Fire Protection District' >Roberts Park Fire Protection District<\/option><option value='Rolling Meadows' >Rolling Meadows<\/option><option value='Rosemont' >Rosemont<\/option><option value='Sauk Village' >Sauk Village<\/option><option value='Schaumburg' >Schaumburg<\/option><option value='Schiller Park' >Schiller Park<\/option><option value='South Barrington' >South Barrington<\/option><option value='South Chicago Heights' >South Chicago Heights<\/option><option value='South Com Dispatch' >South Com Dispatch<\/option><option value='South Holland' >South Holland<\/option><option value='SSC Public Safety\/PD' >SSC Public Safety\/PD<\/option><option value='Steger' >Steger<\/option><option value='Stone Park' >Stone Park<\/option><option value='Streamwood' >Streamwood<\/option><option value='Summit' >Summit<\/option><option value='Thornton' >Thornton<\/option><option value='Tinley Park' >Tinley Park<\/option><option value='Westchester' >Westchester<\/option><option value='Western Springs' >Western Springs<\/option><option value='Wheeling' >Wheeling<\/option><option value='Willow Springs' >Willow Springs<\/option><option value='Wilmette' >Wilmette<\/option><option value='Winnetka' >Winnetka<\/option><option value='Worth' >Worth<\/option><\/select><\/div><\/div><div id=\"field_6_7\" class=\"gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_6_7'>Region<\/label><div class='ginput_container ginput_container_select'><select name='input_7' id='input_6_7' class='large gfield_select'     aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Select<\/option><option value='North' >North<\/option><option value='West' >West<\/option><option value='South' >South<\/option><\/select><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer 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_builder_version=&#8221;3.26.6&#8243;][et_pb_column type=&#8221;1_4&#8243; _builder_version=&#8221;3.26.6&#8243;][et_pb_image src=&#8221;https:\/\/cookcountypublichealth.org\/firstresponder\/wp-content\/uploads\/sites\/5\/2019\/10\/logo-v2.png&#8221; url=&#8221;https:\/\/cookcountypublichealth.org\/firstresponder\/&#8221; _builder_version=&#8221;3.26.6&#8243;][\/et_pb_image][\/et_pb_column][et_pb_column type=&#8221;3_4&#8243; _builder_version=&#8221;3.26.6&#8243;][et_pb_text admin_label=&#8221;Contact Info&#8221; module_class=&#8221;flex-container space-between&#8221; _builder_version=&#8221;3.26.6&#8243; link_text_color=&#8221;#666666&#8243;]\n<p>Phone:\u00a0<a href=\"tel:7084388310\">708-438-8310 <\/a><\/p>\n<p>Email:\u00a0<a href=\"mailto:probinson@cookcountyhhs.org\">probinson@cookcountyhhs.org <\/a><\/p>\n<p><a href=\"https:\/\/cookcountypublichealth.org\/\" target=\"_blank\" rel=\"noopener \">cookcountypublichealth.org<\/a><\/p>\n<p><a href=\"#page-container\">Back to Top<\/a><\/p>\n[\/et_pb_text][et_pb_text admin_label=&#8221;Mission&#8221; _builder_version=&#8221;3.26.6&#8243; text_font_size=&#8221;12px&#8221;]\n<p>Our mission is to optimize health and promote health equity for all people and communities of Cook County through leadership and appropriate collaborations between County, local, state and federal officials, as well as private health promoting institutions, focusing on health promotion and disease prevention, while advocating for the environmental and social conditions necessary to advance physical, mental and social well-being. 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