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ParentGuardian Forms

CHDP ProgramFind Out If You QualifyEnglishSpanishVietnameseFarsiKorean County of Orange Notice of Privacy PracticesHealth Education (Pamphlets)State Materials for…

Reporting a TB Case or Suspect

Report A Tuberculosis (TB) Case or Suspect Within 24-hours of either: A. Chest radiograph consistent with active TB   B. Positive acid-fast smear or…

ParentGuardian Resources

Internet ResourcesCHDP ProgramCHDP Provider ListReferral Programs (Link to Organization Website)2-1-1CalOptimaCalWINCHIOC (Insurance opportunities and resources)CCSChild Behavior Pathways (Children…

Provider Administrative Forms

CHDP Program Forms Provider Application (DHS 4490) Health Assessment Provider Agreement (DHS 4491) Medical Record Review Tool (DHS4492)  Medical Record Review Guidelines Facility…

TB Screening and Treatment Services

  Open: Monday through Friday 8 AM - 12 PM and 1-4 PM (closed for lunch 12-1 PM)  Note: TB skin testing is…

Provider Administrative Resources

Medi-Cal Provider Enrollment Aide Codes Medi-Cal Affordable Care Act (ACA) Increased Payment for Primary Physicians Sign up for Medi-Cal (Including CHDP) Bulletins CHDP Program-…

Neurobehavioral Testing Unit

Pre-doctoral psychology interns conduct supervised neurobehavioral assessments for consumers to determine diagnosis, prognosis and treatment planning. Assessment services include the following…

CFT Diagrams

401 S. Tustin Facility Diagrams Crisis Residential Center First Floor Crisis Residential Center Second Floor Wellness & Peer Support Center Educational & Training Center 3D…

Technical Assistance Training Services

Training in Physical Fitness, Nutrition Education & Smoking Cessation Program Servicing: Approved participants 16 years and older, referred from Orange County Health Care Agency - Behavioral…