Board of Health

New! Cowlitz County residents who meet certain eligibility requirements can now apply to serve on the Cowlitz County Board of Health. See our "How To Apply" section ↓ below ↓ to learn more.

The Cowlitz County Board of Commissioners currently serve as the Cowlitz County Board of Health. In accordance with 
RCW 70.05.060, the Board of Health supervises all matters pertaining to the preservation of the life and health of people in Cowlitz County.

The board currently meets quarterly to hear updates from Cowlitz County Health & Human Services, which fulfills a variety of environmental and community health, human services, and administrative functions.

House Bill 1152
By July 1, 2022 the Cowlitz County Board of Health will expand from three to six members to comply with House Bill 1152, which passed in 2021. The new legislation requires local boards of health to include an equal ratio of elected and non-elected members. 

The state Board of Health recently established rules for the appointment process of non-elected members of local boards of health and community members can now apply.

How To Apply
Cowlitz County residents who meet certain eligibility requirements can now apply to serve on the Cowlitz County Board of Health.

To be eligible, applicants must represent 1 of the 3 following categories: 

PUBLIC HEALTH, HEALTH CARE FACILITIES, OR PROVIDERS. This includes people who specialize or have worked in the health field. 
CONSUMERS OF PUBLIC HEALTH. This includes people who have experience with public health-related services and programs. 
OTHER COMMUNITY STAKEHOLDERS. This includes people who represent organizations that work with populations experiencing health inequities. 

To download and complete the application, click the button below:

Board of Health Application Opens in new window
Applications can be submitted to the Board of Cowlitz County Commissioners in person or by mail to: 207 Fourth Ave. N Kelso, WA or emailed to:

There is no deadline to submit an application. Applications will be accepted until all three positions are filled. 

If you have questions about the application process, please contact Clerk of the Board Tiffany Ostreim by calling (360) 577-3020 or emailing


Washington State law gives primary responsibility for the health and safety of state residents to the 39 county governments.

It charges counties' legislative authorities with establishing either a county department or a health district to assure the public's health. (RCW 70.05, 70.08, 70.46)

In Washington State, the governmental public health system consists of local public health agencies and local health jurisdictions (LHJs) that work with the state Department of Health.

Some counties have individual health departments while others have formed multi-county and/or city-county health districts. Cowlitz County has an individual health department, Cowlitz County Health & Human Services, which also includes social services programs.

Meeting Schedule
The Cowlitz County Board of Health meets quarterly on the 4th Tuesday of January, April, July, and October.

Reports & Presentations

July 2020
Quarterly Report – COVID-19; (VIDEO)
August 2020
Quarterly Report – COVID-19; (VIDEO)
October 2020
Quarterly Report – COVID-19; (VIDEO
December 2020
Quarterly Report – COVID-19 
January 2021
Quarterly Report – COVID-19; (VIDEO
April 2021
Quarterly Report – E2SHB 1152, COVID-19; (VIDEO
July 2021
Quarterly Report – E2SHB 1152, COVID-19

January 2022
• Quarterly Report – E2SHB 1152
April 2022
Quarterly Report – STIs, E2SHB 1152