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This document serves as a registration form for clients in the High Risk Infant Follow-Up Program, gathering essential information regarding infants who meet the CCS HRIF medical eligibility criteria.
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How to fill out california childrens services ccs
How to fill out California Children’s Services (CCS) High Risk Infant Follow-Up (HRIF) Program Registration – Client Identification Face Sheet
01
Obtain the California Children’s Services (CCS) High Risk Infant Follow-Up (HRIF) Program Registration form.
02
Locate the 'Client Identification Face Sheet' section on the form.
03
Fill in the child's name in the designated field.
04
Provide the child's date of birth and age.
05
Enter the child's gender.
06
Complete the parent or guardian's name and contact information.
07
Include the child's address, ensuring all details are accurate.
08
List any known medical conditions or disabilities of the child.
09
Indicate the referral source and provide any additional necessary information.
10
Review all entries for accuracy and completeness before submission.
11
Sign and date the form where indicated.
Who needs California Children’s Services (CCS) High Risk Infant Follow-Up (HRIF) Program Registration – Client Identification Face Sheet?
01
Infants who are considered high risk due to medical conditions at birth.
02
Parents or guardians seeking follow-up medical services for their high-risk infants.
03
Healthcare providers who are managing the care of high-risk infants.
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What is a high risk infant follow-up?
HRIF clinics provide three or more assessment visits with CCS-approved doctors who follow the infant over the first three years of life and identify and treat existing and new issues as they arise. Eligibility for HRIF services begins at birth and lasts up until three years of age.
What does hrif mean?
The program is funded with state, county, and federal tax monies, along with some fees paid by parents. What does CCS offer children?
Who is a high risk infant?
High Risk Infant Follow-up Clinic The team evaluates our high risk Neonatal Intensive Care Unit graduates 3 times in their first 3 years. At each visit the child receives a medical and a neurodevelopmental evaluation. We discuss any concerns with the families and arrange any other services that may be needed.
What is hrif?
What are high-risk infants? Doctors refer to babies who are born prematurely or who are sick when they are born as high-risk infants. This means they have a high risk of short and long-term health and developmental challenges.
What is Kaiser high risk infant follow-up?
A 'High-Risk Newborn' refers to a newborn baby who has a greater chance of experiencing health issues or complications, such as preterm birth or congenital malformations, requiring specialized medical care to reduce mortality rates.
What is California children Services Program?
CCS provides authorizations for diagnostic and treatment services, equipment, medical case management, and physical and occupational therapy services to children under age 21 with medical conditions such as Diabetes, Cystic Fibrosis, Spina Bifida, Hemophilia, Sickle Cell Disease or Cerebral Palsy.
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What is California Children’s Services (CCS) High Risk Infant Follow-Up (HRIF) Program Registration – Client Identification Face Sheet?
The California Children's Services (CCS) High Risk Infant Follow-Up (HRIF) Program Registration – Client Identification Face Sheet is a form used to identify and register infants who are at high risk of developmental issues due to medical conditions, ensuring they receive appropriate follow-up care and services.
Who is required to file California Children’s Services (CCS) High Risk Infant Follow-Up (HRIF) Program Registration – Client Identification Face Sheet?
Health care providers who care for infants that meet the criteria for the CCS HRIF program are required to file the Registration – Client Identification Face Sheet.
How to fill out California Children’s Services (CCS) High Risk Infant Follow-Up (HRIF) Program Registration – Client Identification Face Sheet?
To fill out the CCS HRIF Program Registration – Client Identification Face Sheet, complete all required fields with the infant’s personal and medical information, including demographics, medical history, and co-existing conditions. Ensure that the information is accurate and up-to-date before submission.
What is the purpose of California Children’s Services (CCS) High Risk Infant Follow-Up (HRIF) Program Registration – Client Identification Face Sheet?
The purpose of the CCS HRIF Program Registration – Client Identification Face Sheet is to facilitate the identification of high-risk infants to ensure timely and appropriate access to developmental monitoring, intervention services, and follow-up care.
What information must be reported on California Children’s Services (CCS) High Risk Infant Follow-Up (HRIF) Program Registration – Client Identification Face Sheet?
The form must report information such as the infant's name, date of birth, medical history, risk factors, contacting health care provider details, and any relevant developmental milestones or concerns.
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