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 Low-Cost Health Care & Prescriptions
• 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
  cdc.gov/travel
• CDC Malaria Hotline: (855) 856-4713 Toll-free or (770) 488-7100 for after hours
  cdc.gov/malaria

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Social Services

• Children Affected by Violence Task Force (CAVTF) Database
• Franklin County Children’s Services (FCCS) 2019 Community Resource Guide
• Columbus Coalition for the Homeless Streetcard
• Franklin County Children’s Services (FCCS) Volunteers & Mentors

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Home-Related Services for Tenants & Homeowners

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

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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
  (877) 742-5622
• Lifeline Telephone Programs (for low income customers)

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Physician & Provider Resources

• Breastfeeding Medication Compatibility
• Nationwide Children’s Hospital 24-Hour Direct Connect Line for Physicians
  (877) 355-0221
• Education materials for patients and families (Helping Hands)
• AAP Pediatric Care Online for Physicians – point-of-care reference and well check resources
• CANTASD Center  (Child Abuse and Neglect Technical Assistance and Strategic Dissemination)
• Ohio Automated Rx Reporting System (OARRS)
• Ask a Pediatric Specialist Program
• Partners for Kids (PFK): Care Coordination
• 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

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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
• Child Medical Statement for Daycare/Childcare Form
• Daycare Request for Administration of Medicine
• Nationwide Children’s Hospital Appointment Request Form

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Screening Tools for Kids

• Modified Checklist for Autism in Toddlers Revised with Follow-Up (MCHAT-R/F)
• Pediatric Symptom Checklist (PSC-17) – mental health screening tool
• 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

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Medicaid & Pharmacy Resources

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

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Resources for Children with Disabilities & Special Needs

• Social Security Disability Benefits
• Online Child Disability Report
• Paper Child Disability Report
• Benefit Eligibility Screening Tool (BEST) – online questionnaire
• BMV Application for Disability Placards
• General BMV Disability Information
  (614) 752-7800 or (800) 589-8247
• CMH Medical Application Form
• CMH Forms, Materials & Resources
  (614) 466-1700
• List of All Ohio County Boards of Developmental Disabilities
• Help Me Grow Providers by County
• Home & Community-Based (HCBS) Waivers Fact Sheet
• Ohio Department of Developmental Disabilities (DODD) Waiver Forms
  (800) 617-6733
• Ohio Department of Education (ODE) Resources for Children with Disbilities

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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?