Get the free Parent Child Health Referral Form - kingcounty.gov
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Please fax to 2062964679Parent Child Health Referral(Do not email)Questions? 2062638374Thank you for your referral to Public Health Seattle & King County! Date Patient:If infant/child, mother/caregivers
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How to fill out parent child health referral
How to fill out parent child health referral
01
Obtain the parent-child health referral form from the relevant healthcare provider or agency.
02
Enter the required personal information of the parent or guardian, such as name, contact details, and address.
03
Provide the necessary information about the child, including their name, age, and any existing medical conditions or concerns.
04
Specify the reason for the referral, such as the need for specialized medical care, developmental assessments, or further evaluation of a specific health issue.
05
Attach any supporting documents or medical reports that may be relevant to the referral.
06
If applicable, include the name and contact information of any healthcare professional who is recommending or supporting the referral.
07
Review the form for accuracy and completeness before submitting it.
08
Submit the completed parent-child health referral form to the designated healthcare provider or agency as instructed.
Who needs parent child health referral?
01
Any parent or guardian who seeks specialized medical care, developmental assessments, or further evaluation for their child may require a parent-child health referral. This can include situations where a child has specific health concerns or conditions that require the expertise of other healthcare professionals or facilities.
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