Resource toolkit including a listing of processes, protocols, procedures required in
the Operational Definition of a Functional Local Health Department Metrics: LHD Capacity
Self-Assessment Tool and suggested sample documents and guidance documents to be
used as a tool by LHDs to meet requirements.
Sample Memorandums of Understanding/Agreement
Sample MOU for Push dispensing site. [MS Word] [PDF]
(Source: Mid-America Regional Council)
Local governments may wish to establish MOUs/MOAs with CLOSED or OPEN dispensing sites. Sample documents are available using the links below. PLEASE NOTE: These documents are examples only. They should be reviewed by legal counsel within the jurisdiction before using.
Sample Memorandum of Agreement between a Health Department and a CLOSED dispensing site [MS Word] [PDF]
Sample Memorandum of Understanding between a Health Department and a School District for Public/OPEN dispensing site operations [MS Word] [PDF]
