Request for School Materials

Please fill out the following fields to receive the School Entry Health Check-Up Requirement (Green) form or the Oral Health Assessment (Pink) form. Materials on low or no-cost health insurance options for children are also available. These forms will be mailed to you within 7 days. For any questions, please contact the Child Health and Disability Prevention (CHDP) Program Health Promotion at (619) 542-4178.
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