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Children's Medical Services

   CHDP Forms
CHDP FORMS English Spanish Vietnamese
CDC About BMI for Children & Teens Click Here
CHDP Consent Form Click Here
CHDP Health Assessment Provider Application Click Here
CHDP Health Assessment Provider Program Agreement Click Here
CHDP Materials Order Form (For LA County Providers Only) Click Here
CHDP Supplemental Application Click Here
CHDP Supplemental Application Instructions Click Here
Confidential Referral/Follow-Up Report Click Here
Gateway Post-Visit Flyer- North Regional Click Here Click Here
Gateway Post-Visit Flyer- Southwest Regional Click Here Click Here
Newborn Hearing Screening Program Brochure– (PUB 813)
N/A
Click Here
Newborn Referral Click Here
Newborn Referral County Central Location Phone List Click Here
Parents To Be – (PUB 801)
N/A
Click Here
Pediatric TB Risk Assessment Questionnaire Click Here Click Here
Pre-Enrollment Application Click Here Click Here Click Here
Report of Health Exam 4 School Entry Click Here Click Here
What Do You Eat 8-21 Click Here
What Does Your Child Eat? Click Here Click Here Click Here
What Does Your Child Eat? (Instructions) Click Here
Youth Nutrition and Activity Assessment Click Here
 
CHDP BROCHURES English Spanish
Weighing and Measuring Tools
 Measuring Length - Infant Birth - 2 years Click Here
 Measuring Weight - Infant Birth - 2 years Click Here
 Measuring Weight - Children and Adolescents 2- 20 years Click Here
 Measuring Stature - Children and Adolescents 2- 20 years Click Here
 
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