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Children's Special Health Services 600 E. Boulevard Ave., Dept. 301 Bismarck, ND 585050200 701.328.2436 or 1.800.755.2714 Fax: 701.328.1645 Website: www.ndhealth.gov/cshs/autism.htm AUTISM SPECTRUM
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To fill out children's special health services, follow these steps:

01
Gather all necessary information: Collect your child's personal and medical details, including their name, date of birth, contact information, primary healthcare provider's information, and any relevant medical records or test results.
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Complete the application form: Obtain the application form for children's special health services from the appropriate government or healthcare agency. Fill out all required fields, ensuring accuracy and completeness of the information provided.
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Provide detailed medical history: Include a thorough medical history of your child, including any diagnosed conditions, medications they are taking, allergies, and previous treatments or surgeries.
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Describe the specific challenges or needs: Clearly explain the unique needs and challenges your child faces, such as physical disabilities, chronic illnesses, learning disabilities, or developmental delays. Mention any specialized healthcare services, therapies, or assistive devices they require.
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Attach supporting documentation: Attach any supporting documents that may help the agency or healthcare provider understand your child's condition better. This may include medical reports, assessments, evaluations, or recommendations from healthcare professionals.
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Include parental or guardian information: Provide your own contact information as the parent or guardian, including your full name, address, phone number, and email address. If applicable, provide information about any additional legal guardians or caregivers.
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Submit the application: Carefully review the completed application form and attached documents for accuracy and completeness. Ensure that you have signed and dated the form where required. Submit the application through the designated method, such as online submission, mailing, or dropping it off at the relevant office.

Who needs children's special health services?

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Children with chronic illnesses: Children who have been diagnosed with chronic conditions such as diabetes, asthma, epilepsy, or cystic fibrosis may benefit from children's special health services. These services can help manage their condition effectively and provide necessary medical support.
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Children with disabilities: Children with physical, cognitive, or developmental disabilities like cerebral palsy, Down syndrome, autism spectrum disorder, or intellectual disabilities may require specialized healthcare services. Children's special health services can offer tailored support to enhance their overall health and well-being.
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Children with complex medical needs: Some children have complicated medical needs that necessitate frequent medical interventions, monitoring, or skilled nursing care. Children's special health services can provide them with the comprehensive care they require to thrive and function at their best.
It is essential to consult with healthcare professionals or relevant government agencies to determine eligibility and explore the specific services available for children's special health services in your locality.
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Children's Special Health Services (CSHS) are a range of prevention, early intervention, and treatment services for children with special health care needs.
Parents or legal guardians of children with special health care needs are required to file for Children's Special Health Services.
To fill out Children's Special Health Services, parents or legal guardians need to provide detailed information about their child's medical condition, treatment plan, and financial situation.
The purpose of Children's Special Health Services is to ensure that children with special health care needs have access to necessary medical treatment, resources, and support.
Information that must be reported on Children's Special Health Services includes the child's medical history, current medical needs, treatment plan, and financial information.
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