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Sacramento County Child Health and Disability Prevention (CHIP) Program Material Order FormMaterials will be provided in bundles of 25. To request materials, please check off the materials you would
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How to fill out chdp material order form

01
Obtain a copy of the CHDP material order form from the appropriate department or website.
02
Fill in the required contact information, such as name, address, and phone number.
03
Indicate the quantity of each material being ordered in the designated fields.
04
Specify any special instructions or notes in the appropriate section.
05
Double-check the information filled out on the form for accuracy and completeness.
06
Submit the completed form to the designated recipient by the specified deadline.

Who needs chdp material order form?

01
Healthcare providers who are participating in the CHDP program and require additional materials to conduct screenings and assessments for eligible children.
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The CHDP Material Order Form is a document used to request materials related to the Child Health and Disability Prevention (CHDP) program, which aims to provide health screenings and services to children in California.
Healthcare providers and agencies that participate in the CHDP program and require materials to support their services are required to file the CHDP Material Order Form.
To fill out the CHDP Material Order Form, a user needs to provide their contact information, specify the materials requested, and indicate the quantity of each item being ordered.
The purpose of the CHDP Material Order Form is to facilitate the ordering and distribution of educational and promotional materials that support the CHDP program's goals.
The form must report the requester's name, organization, contact details, materials requested, and the quantities needed.
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