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REFERRAL TO HEALTHY STARTTHD SERVICES Fax completed form to Healthy StartTHD: (918) 5954282 [PLEASE NOTE: Client must BE PREGNANT and reside in one of the following 11 Tulsa County zip codes: 74063,
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How to fill out referral to healthy start-thd

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How to fill out referral to healthy start-thd

01
Obtain the referral form from the Healthy Start-THD website or office.
02
Fill in the patient's personal information, including name, date of birth, and contact information.
03
Provide the reasons for the referral, including any specific health concerns or needs.
04
Include the medical history relevant to the referral.
05
Sign and date the form.
06
Submit the completed referral form to the Healthy Start-THD program.

Who needs referral to healthy start-thd?

01
Individuals expecting a baby or those with children under the age of five who are in need of health services.
02
Families facing financial difficulties that impact access to healthcare.
03
Clients who require additional support for prenatal and postnatal care.
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Referral to Healthy Start-THD is a process for connecting eligible pregnant women and infants to comprehensive services that promote healthy pregnancies and early childhood development.
Health care providers, including doctors, midwives, and public health agencies, are required to file referrals to Healthy Start-THD on behalf of eligible clients.
To fill out a referral to Healthy Start-THD, complete the required form with client demographic information, medical history, and any specific needs or concerns that should be addressed.
The purpose of referral to Healthy Start-THD is to ensure that women and infants receive timely and appropriate health services and support to improve health outcomes.
Information that must be reported includes the client's name, date of birth, address, health history, and specific services being referred.
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