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Form PM161 Chdp Confidential Referral / Follow-Up Report - California
What Is Form PM161?
This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is PM161?A: PM161 is a form used in California for the Confidential Referral/Follow-Up Report for the Child Health and Disability Prevention (CHDP) program.
Q: What is the CHDP program?A: The Child Health and Disability Prevention (CHDP) program in California provides preventive health care services for low-income children and youth.
Q: What is the purpose of the PM161 form?A: The PM161 form is used to refer and follow up on children who may be eligible for the CHDP program and in need of preventive health care services.
Q: Who uses the PM161 form?A: The PM161 form is used by health care providers, schools, and other organizations to refer children to the CHDP program.
Q: Is the PM161 form confidential?A: Yes, the PM161 form is considered confidential and contains sensitive information about the child's health and eligibility for the CHDP program.
Form Details:
- Released on September 1, 2007;
- The latest edition provided by the California Department of Health Care Services;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form PM161 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the California Department of Health Care Services.
Download Form PM161 Chdp Confidential Referral / Follow-Up Report - California
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