For Providers

Quick Lists of Community Health Care Clinics & Prescription Help

• 24-Hour Pharmacies in Central Ohio
• Dentists Who Specialize in Seeing Kids
• CAP4Kids Low-Cost Health Care & Prescriptions
• Help Me Grow Providers by County – home visits for pregnant and postpartum women
• 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 Malaria Hotline: (855) 856-4713 for after hours/weekends/holidays call (770) 488-7100, ask for a Malaria Branch clinician

---

Provider Tools

• Breastfeeding Medication Compatibility
• Nationwide Children’s Hospital 24-Hour Direct Connect Line for Physicians
  (614) 355-0221 or (877) 355-0221
  • Ask a Pediatric Specialist Program
• Partners for Kids (PFK): Care Coordination
• 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)
• 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
• Drug Look Up Tool (Ohio Medicaid Pharmacy Program)
• Ohio Department of Medicaid
  Provider Hotline: (800) 686-1516
• List of All Ohio County Boards of Developmental Disabilities

---

Patient Care Forms

• 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
• Social Security Disability Benefits
  • Child Disability Report – Paper, Online
  • Benefit Eligibility Screening Tool (BEST) – online questionnaire
• Ohio Department of Developmental Disabilities (DODD) Waiver Forms
  • Home & Community-Based (HCBS) Medicaid Waivers Fact Sheet
• Children with Medical Handicaps (CMH) Forms, Materials & Resources
  • CMH Medical Application Form

---

Letters Parents Can Use for Schools & Agencies

• 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?

---

Well-Being Resources for Providers

• Sustaining the Well-Being of Healthcare Personnel during Coronavirus and other Infectious Disease Outbreaks
• COVID-19 Well-Being Resources for Healthcare Professionals
• COVID-19 Well-Being Resources for Ohio Physicians
• OSU Wexner Mental Health Resources for Healthcare Professionals