Form 1902 Referral for Preventive Child Care Services - New Hampshire

Form 1902 Referral for Preventive Child Care Services - New Hampshire

What Is Form 1902?

This is a legal form that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 1902?A: Form 1902 is a referral form for preventive child care services in New Hampshire.

Q: What are preventive child care services?A: Preventive child care services are services that aim to promote the health and well-being of children while preventing potential medical, developmental, or social issues.

Q: Who can use Form 1902?A: Form 1902 can be used by healthcare providers or other professionals who identify a need for preventive child care services for a child.

Q: What information is required on Form 1902?A: Form 1902 requires information about the child, the reasons for the referral, and the referring healthcare provider or professional.

Q: Is there a fee for using Form 1902?A: No, there is no fee for using Form 1902.

Q: What happens after submitting Form 1902?A: After submitting Form 1902, the referral is reviewed and appropriate preventive child care services may be provided to the child and their family.

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Form Details:

  • Released on February 1, 2017;
  • The latest edition provided by the New Hampshire Department of Health and Human 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 printable version of Form 1902 by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.

Download Form 1902 Referral for Preventive Child Care Services - New Hampshire

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