Specialty Providers

Contact Information

For CHDP Program
Toll Free #:    
1-800-993-2437
                         1-800-993-CHDP
Fax Number:  (626) 569-9350
Email: CHDP@ph.lacounty.gov
Address:

9320 Telstar Ave., Suite #226
El Monte, CA 91731   

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CHDP Forms
CHDP FORMS
CHDP Consent Formpdf icon
CHDP Newborn Referral Form (English)pdf icon
CHDP Newborn Referral Form (Spanish)pdf icon
Report of Health Examination for School Entry (English)pdf icon
Report of Health Examination for School Entry (Spanish)pdf icon
CCS Referral Processpdf icon
Specialty Referral, Guidelines and Tipspdf icon
 
CHDP Applications
CHDP Health Assessment Provider Applicationpdf icon
CHDP Health Assessment Provider Program Agreementpdf icon
CHDP Pre-Enrollment Application (English)pdf icon
CHDP Pre-Enrollment Application (Spanish)pdf icon
CHDP Pre-Enrollment Application (Vietnamese)pdf icon
CHDP Supplemental Applicationpdf icon
CHDP Supplemental Application Instructionspdf icon
 
CHDP Brochures
CHDP Medical and Dental Health Check-upspdf icon
Newborn Hearing Screening Program (English)pdf icon
Newborn Hearing Screening Program (Spanish)pdf icon
Important Information for Parents To Be (English)pdf icon
Important Information for Parents To Be (Spanish)pdf icon
 
Pediatric TB Risk Assessment Questionnaire
Pediatric TB Risk Assessment Questionnaire (English)pdf icon
Pediatric TB Risk Assessment Questionnaire (Spanish)pdf icon
Pediatric TB Risk Assessmentpdf icon
Pediatric TB Risk Assessment User Guidepdf icon
TB Screening Mandates for Schoolspdf icon
California Management Guidelines on Childhood Lead Poisoningpdf icon
 
Nutrition Assessment
What Does Your Child Eat? Ages Birth-Eight (English)pdf icon
What Does Your Child Eat? Ages Birth-Eight (Spanish)pdf icon
What Do You Eat? Ages 8-21 (English)pdf icon
What Do You Eat? Ages 8-21 (Spanish)pdf icon
 
Weighting and Measuring Tools
Measuring Length - Infant Birth - 2 Yearspdf icon
Measuring Weight - Infant Birth - 2 Yearspdf icon
Measuring Height - Children and Adolescents 2- 20 yearspdf icon
Measuring Weight - Children and Adolescents 2- 20 Yearspdf icon
How to Accurately Weigh and Measure Children for the CHDP Well-Child Exam
 
What's New in CHDP?

1. COVID-19 Resources new image

2. Vaping (E-cigarettes and
    Youth)

3. Vaping: Flavors Hook Kids
    Toolkit

4. Let's Talk About Cannabis
    LA County
    (videos for children
    and teens.)

5. Penalties for Recreational     Cannabis Use

6. Print Materials on
    Cannabis and Antibiotic
    Awareness

7. Child Safety Seat
    Distribution Programs in
    Los Angeles County

8. CHDP Medical and Dental
     Health Check-ups

9. Familia for Your Health -
    free text and online health
    program

10. Family Reunification
    Housing Subsidy
    Serves parent(s) whose
    homelessness is the sole
    barrier to the return of
    their children.

11.Mosquitoes in Los Angeles
     County spread West Nile
     Virus

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