California coordinated health order 2026

1. Click ‘Get Form’ to open the California Coordinated Health Order in the editor.
2. Begin by entering the child's name and date of birth in the designated fields. This information is crucial for identifying the child involved in the case.
3. Fill out the referral information section, including the name and telephone number of the Child Social Worker (CSW), as well as the caregiver's details. Ensure accuracy for effective communication.
4. Provide a brief description of the medical or mental health concern. Be concise yet informative to assist healthcare providers in understanding the urgency and nature of services required.
5. List any medical or mental health services requested in the appropriate field. This helps streamline coordination efforts by specifying needs.
6. Include contact information for the child’s attorney, ensuring that all parties are informed and can collaborate effectively.
7. If applicable, check the 'URGENT/EMERGENT' box and follow instructions regarding contacting court pediatricians directly and emailing them with high priority.
8. Finally, review all entered information for accuracy before saving or printing your completed form.

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