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CHDP Provider Information

CHDP Program: Provide complete health assessment for the early detection and prevention of diseases and disabilities for low-income children and youth.

Health History, Physical Exam, Developmental/ Nutritional/ Dental Assessment, Vision/ Hearing screening, Tb test, Lab tests, Immunizations (click here for VFC), Health Education and Anticipatory Guidance, and Referrals for any needed diagnostics and treatment. A health assessment consists of (AAP/Bright Futures).

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CHDP Providers Phone Website
 
Clyne and Hsu Medical Group 831-728-2969 here
Dr. Raghavan 831-724-9200  
Dr. Ariel Martinez 831-786-9250  
Plazita Medical Clinic 831-728-0551 here
Dignity Health
Dignity Health Aptos Pediatrics 831-476-3000 here
Dignity Health Boulder Creek 831-476-3000 here
Dignity Health Capitola Family Practice 831-476-3000 here
Dignity Health Capitol Pediatrics 831-476-3000 here
Dignity Health Mission Street 831-476-3000 here
Dignity Health Watsonville Pediatrics 831-476-3000 here
PAMF Main Pediatrics
PAMF Aptos 831-458-5555 here
PAMF Main Family Practice 831-458-5555 here
PAMF Watsonville 831-458-5555 here
PAMF West Side 831-458-5555 here
Planned Parenthood
Planned Parenthood Westside 831-724-7525 here
Planned Parenthood Watsonville Health Center 831-724-7525 here
Salud Para La Gente
Clínica del Valle del Pájaro 831-728-0222 here
Salud at 208 Green Valley 831-728-0222 here
Salud at 65 Nielson 831-728-0222 here
Salud at Valle Verde 831-728-0222 here
Salud Para La Gente 831-728-0222 here
Santa Cruz Community Health Centers
East Cliff Family Health Center 831-427-3500 here
Santa Cruz Women’s Health Center 831-427-3500 here
Santa Cruz County Health Centers
Santa Cruz Health Center 831-454-4100 here
Watsonville Health Center 831-763-8400 here

Provider Obligations: Comply with the CHDP Provider Manual, Review CHDP Provider Information Notices, provide follow up and medical case management including specialty care referrals, outreach to families, give a written summary of findings to patient or family and note in chart, provide a medical home, ensure availability of medical services after hours, participate in the VFC program, and maintain active Medi-Cal provider status.

CHDP Care Coordination Form for medical providers and Instructions: Use this form to notify the local CHDP office of any health care follow up, transportation needs, dental home needs or follow up, or referrals. 

Dental Care Coordination Form for dental providers: Use this form to inform the local CHDP office of any dental follow up, transportation needs, or referrals and fax or email securely to our office at: 831-763-8410 or HsaCHDP@santacruzcounty.us

HCPCFC (Health Care Program for Children in Foster Care) Health Contact Form (form and instructions): This form should always be filled out whenever a foster child is seen at a medical office. Fax to 831-454-4501 ATTN: Mayra.

CHDP Gateway Program Information for Providers.

 

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  • MD: Name/Email, Physician license number and expiration date, NPI#, Speciality (Peds or FP; if Internal Medicine, restricted to 14 yrs or older only). Copy of Board Certification Number. Complete the Santa Cruz County CHDP Provider orientation found here and notify local CHDP office 831-763-8101.
  • PA: Name/Email, PA license number and expiration date, copy of NCCPA certification, complete this form, sign and email to hsachdp@santacruzcounty.us. Email us with questions. Complete this form, sign and email to the address above. Complete the Santa Cruz County CHDP Provider orientation found here and notify local CHDP office 831-763-8101.
  • FNP/PNP: Name/Email, FNP/PNP license number, copy of National Certification, Complete this form, sign and email to hsachdp@santacruzcounty.us. Complete the Santa Cruz County CHDP Provider orientation found here and notify local CHDP office 831-763-8101.
  • NP: Name/Email, NP license number and expiration, complete this form, sign and email to hsachdp@santacruzcounty.us. Email us with questions. Complete this form, sign and email to the address above. Complete the Santa Cruz County CHDP Provider orientation found here and notify local CHDP office 831-763-8101.

CHDP Training: In progress

 

CHDP Providers Training Materials

Audiometry BMI/Anthropometric
Oral Health Vision

 

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