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 English Spanish
CHDP Consent Form Click Herepdf icon
CHDP Materials Order Form (For LA County Providers Only) Click Herepdf icon
CHDP Newborn Referral Form Click Herepdf icon Click Herepdf icon
Report of Health Examination for School Entry Click Herepdf icon Click Herepdf icon
Specialty Referral, Guidelines and Tips Click Herepdf icon
 
CHDP Applications English Spanish Vietnamese
CHDP Health Assessment Provider Application Click Herepdf icon
CHDP Health Assessment Provider Program Agreement Click Herepdf icon
CHDP Pre-Enrollment Application Click Herepdf icon Click Herepdf icon Click Herepdf icon
CHDP Supplemental Application Click Herepdf icon
CHDP Supplemental Application Instructions Click Herepdf icon
 
CHDP Flyers English Spanish
Gateway Post-Visit Flyer- North Regional Click Herepdf icon Click Herepdf icon
Gateway Post-Visit Flyer- Southwest Regional Click Herepdf icon Click Herepdf icon
 
CHDP Brochures
Newborn Hearing Screening Program Click Herepdf icon Click Herepdf icon
Important Information for Parents To Be Click Herepdf icon Click Herepdf icon
 
Pediatric TB Risk Assessment Questionnaire
Pediatric TB Risk Assessment Questionnaire Click Herepdf icon Click Herepdf icon
 
Nutrition Assessment English Spanish Vietnamese
What Does Your Child Eat? (Instructions) Click Herepdf icon
What Do You Eat ages 8-21 Click Herepdf icon
What Does Your Child Eat? Click Herepdf icon Click Herepdf icon Click Herepdf icon
Youth Nutrition and Activity Assessment Click Herepdf icon
 
Weighting and Measuring Tools English
 Measuring Length - Infant Birth - 2 years Click Herepdf icon
 Measuring Weight - Infant Birth - 2 years Click Herepdf icon
 Measuring Weight - Children and Adolescents 2- 20 years Click Herepdf icon
 Measuring Stature - Children and Adolescents 2- 20 years Click Herepdf icon
 
What's New in CHDP?

1. New Car Seat Law for 2 year
     olds and Under
     English pdf icon / Spanish pdf icon

2. Child Safety Seat
    Distribution Programs in
    Los Angeles County

3. Preventing Zika: Video
     Zika Virus Updatepdf icon
     Zika Virus: Information and      Resourcespdf icon

4. CHDP Medical and Dental
     Health Check-ups

5. Latest news on the DPH
     Exide Response

6. Reminders for Providers

7. Children’s Headphones May
    Carry Risk of Hearing Loss

8. Primary Care Provider
    Training on Asthma Care
    January 19, 2017     approved for 3.25 CME’s

9. Care Harbor-Free Medical,
    Dental, and Vision Care -
    January 20, 2017
     English pdf icon / Spanish pdf icon

10. Tooth Fairy Convention -
    February 11, 2017
    English pdf icon / Spanish pdf icon

11. Breastfeeding Seminar
    March 3, 2017 pdf icon

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

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