Get the free NEWBORN REFERRAL - County of San Diego

Department of Health Care Services State of California Health and Human Services Agency NEWBORN REFERRAL (NOT AN APPLICATION FOR MEDICAL) (PLEASE USE INK AND PRESS FIRMLY.) The Newborn Referral Form

How to fill out newborn referral - county

How to fill out a newborn referral - county:

1. Start by gathering all necessary information about the newborn, such as their full name, date of birth, and any relevant medical history.
2. Contact your local county health department or a designated agency to obtain the newborn referral form. They will provide you with the necessary paperwork or direct you to where you can find it online.
3. Fill in the required fields on the newborn referral form, including the contact information of the parent or guardian, address, and phone number.
4. Provide details about the newborn's primary care physician or pediatrician, including their name, address, and contact information.
5. Include any specific medical concerns or conditions that the newborn may have, as well as any additional information that could be helpful for the healthcare providers.
6. Sign and date the form, ensuring all information provided is accurate and complete.
7. Make a copy of the completed referral form for your records before submitting it to the county health department or designated agency for processing.

Who needs a newborn referral - county:

1. Parents or guardians who have recently welcomed a newborn and need to access certain services or resources provided by the county, such as healthcare, early intervention programs, or social support.
2. Healthcare professionals, such as pediatricians or primary care physicians, who may require a referral from the county in order to provide specialized care or coordinate services for the newborn.
3. Individuals or organizations working in the social services sector, who may need a newborn referral - county to refer families or infants to appropriate county resources for assistance and support.

It is important to note that the specific requirements for obtaining a newborn referral - county may vary depending on the location and specific services needed. It is recommended to contact the local county health department or designated agency for accurate and up-to-date information on the necessary procedures.

For pdfFiller’s FAQs

What is newborn referral - county?

Newborn referral - county is a report submitted to the county health department notifying them of a new birth.

Who is required to file newborn referral - county?

Healthcare providers or facilities attending the birth are required to file the newborn referral.

How to fill out newborn referral - county?

The referral can typically be filled out electronically or with a paper form provided by the county health department.

What is the purpose of newborn referral - county?

The purpose is to ensure that newborns receive necessary health screenings and follow-up care.

What information must be reported on newborn referral - county?

Information such as the newborn's name, date of birth, parents' names, and contact information may need to be reported.

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