For Providers

Health Care

• 24-Hour Pharmacies in Central Ohio
• Dentists Who Specialize in Seeing Kids
• Health, Vision & Dental Care for Adults with Limited Incomes
• • CAP4Kids Insurance / Low-Cost Health Care Section
• Breastfeeding Help List
• Free HIV Testing Sites in Columbus
• Travel Vaccine Clinics: The Little Clinic, OSU Wexner, LifeCare Alliance, CVS Minute Clinic
• CDC Travel Hotline: (800) 232-4636 or (888) 232-6348 TTY
  cdc.gov/travel
• CDC Malaria Hotline: (770) 488-7788 or (770) 488-7100 for after hours
  cdc.gov/malaria

---

Social Services

• Children Affected by Violence Task Force (CAVTF) Database
• Franklin County Children’s Services (FCCS) 2018 Community Resource Guide
• Columbus Coalition for the Homeless Streetcard
• Finding a Doctor When You Have Health Insurance
• Statewide Resources
• Franklin County Children’s Services (FCCS) Volunteers & Mentors

---

Home-Related Services for Tenants & Homeowners

• Tenant & Homeowner Resources
• Bed Bug Relief Guide
• Mold & Lead Resources
• Home Weatherization Assistance Program

---

Utility Assistance

• Breathing Association Home Energy Assistance Program (HEAP)
  (614) 457-4570
• Impact Community Action HEAP & PIPP
  (614) 252-2799 or (866) 747-1038
• ODD HEAP Information
  (800) 282-0880
• AEP Ohio Neighbor To Neighbor Dollar Energy Fund
  Participating Agencies
• Office of Ohio Consumers’ Counsel Utility Assistance Information
  (614) 466-9467 or (877) 742-5622
• Lifeline Telephone Programs

---

Transportation

• COTA Bus Service
  Customer Service: (614) 228-1776
  TTY/TTD: (614) 275-5878
  Mobility Services: (614) 275-5828
• COTA Mainstream for People with Disabilities
• Transportation Resource List
• CAP4Kids Transportation Section

---

Physician & Provider Resources

• Breastfeeding Medication Compatibility
• Nationwide Children’s Hospital 24-Hour Direct Connect Line for Physicians
  (877) 355-0221
• Helping Hands Patient Information
• AAP Pediatric Care Online for Physicians
• CANTASD Center  (Child Abuse and Neglect Technical Assistance and Strategic Dissemination)
• Ohio Automated Rx Reporting System (OARRS)
• Ask a Specialist Program
• Partners for Kids (PFK)
• My Baby & Me, Columbus Public Health Home Visiting
• Newborn Screening ACT Sheets
• Mental Health Online Screening Tools
• 24-hour Psychiatric Crisis Line for Youth and Adults
• Pediatric to Adult Care Toolkit for Healthcare Providers

---

Forms for Providers & Physicians

• Blank Vaccine Record Form for Children and Teens (Recommended Schedule & Catch-Up Guidance)
• Ohio High School Athletic Association Pre-participation Physical Evaluation Form
• AAP Refusal to Vaccinate Form for Physicians & Parents
• Animal Bite Report Form
• Daycare Form for All Ohio Residents
• Daycare Request for Administration of Medicine
• Nationwide Children’s Hospital Appointment Request Form

---

Screening Tools for Kids

• Modified Checklist for Autism in Toddlers Revised with Follow-Up (MCHAT-R/F)
• Pediatric Symptom Checklist (PSC-17)
• Edinburgh Postnatal Depression Scale (EPDS)
• Vanderbilt Parent Initial Form (Spanish, Somali)
• Vanderbilt Teacher Initial Form
• Vanderbilt Parent Follow-up Form (Spanish, Somali)
• Vanderbilt Teacher Follow-up Form
• Vanderbilt Scoring Instructions

---

Medicaid & Pharmacy Resources

• Drug Look Up Tool (Ohio Medicaid Pharmacy Program)
• Ohio Department of Medicaid
  Provider Hotline (IVR): (800) 686-1516

---

Resources for Children with Disabilities & Special Needs

• Social Security Disability Benefits
• Online Child Disability Report
• Paper Child Disability Report
• Benefit Eligibility Screening Tool (BEST)
  (800) 772-1213
• BMV Application for Disability Placards
• General BMV Disability Information
  (614) 752-7800 or (800) 589-8247
• BCMH Medical Application Form
• BCMH Forms, Materials & Resources
  (614) 466-1700
• List of All Ohio County Boards of Developmental Disabilities
• Help Me Grow Providers by County
  (800) 755-4769
• Home & Community-Based (HCBS) Waivers Fact Sheet
• Ohio Department of Developmental Disabilities (DODD) Waiver Forms
  (877) 464-6733
• Ohio Department of Education (ODE) Resources for Children with Disbilities

---

Special Education Evaluation Letters

• Requesting an Evaluation (“IEP Letter”)
• Accept the Evaluation Plan
• Reject the Evaluation Plan
• Requesting an Independent Evaluation
• What is the Difference between an IEP and a 504 Plan?