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