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Submit all documents to: Autism Center php@hfsc.org P: 8606126312 F: 8606126384PHP Referral Form Parent or Clinician Today's date: ___Referral source: ___Patients Demographic Information:Patients
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The PHP referral form - parent is a document used by parents to refer a child to a public health program, ensuring that their health needs are properly assessed and addressed.
Parents or guardians of children who require assessment for public health services are required to file the PHP referral form - parent.
To fill out the PHP referral form - parent, complete the sections with the child's information, details of the health concerns, and any supporting documentation before submitting it to the appropriate public health agency.
The purpose of the PHP referral form - parent is to facilitate access to necessary public health services for children by providing relevant information to health professionals.
The information that must be reported includes the child's personal details, health history, specific concerns, and any other relevant information that may assist the health service provider.
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