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County California Child Health and Disability Prevention (CHIP) ProgramCertificate of Completion Awarded to for attending tech Dental Training: Focus on PM 160 Screening Date: Trainer Name/Position
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01
To fill out CHDP (California Department of Health Care Services), follow these steps:
02
Obtain the CHDP form from the California Department of Health Care Services website or a local health clinic.
03
Read the instructions on the form carefully to understand the requirements.
04
Provide your personal information such as name, address, contact details, and date of birth in the designated fields.
05
Answer the questions related to your medical history and any current health conditions.
06
If applicable, provide details of any medications you are currently taking.
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Make sure to sign or provide any necessary consent in the specified areas.
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Double-check all the information you have provided to ensure accuracy.
09
Submit the completed form to the appropriate authority or use the online submission option if available.
10
Keep a copy of the filled-out form for your records.
11
Follow any additional instructions provided by the California Department of Health Care Services, if applicable.

Who needs chdp - california department?

01
CHDP (California Department of Health Care Services) is needed by:
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- Children and youth up to 21 years of age who are eligible for California's Medi-Cal program.
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- Parents or legal guardians of eligible children or youth.
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- Health care providers who administer and coordinate CHDP services.
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- Schools and educational institutions to ensure students' health requirements are met.
06
- Local health departments and community-based organizations involved in providing healthcare services to children and youth in California.
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CHDP stands for Child Health and Disability Prevention program which is run by the California Department of Health Care Services to provide preventive health care services for children in California.
Health care providers, including physicians, clinics, and hospitals, are required to file CHDP reports with the California Department of Health Care Services.
To fill out CHDP reports, health care providers must collect and report information about the preventive health care services provided to children, including immunizations, screenings, and physical exams.
The purpose of CHDP is to ensure that children in California receive necessary preventive health care services to promote their health and well-being.
Information that must be reported on CHDP includes the child's demographic information, the preventive health care services provided, and any follow-up care recommended.
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