Additional Health Department Forms

Forms for Special Child Health Services

Forms and Instructions
Form # Form Name/Title Linked File Instruction/ Comments
SCH-0 Special Child Health Services Registration Form
pdf (184k)
doc (205k)
Instructions and Legends (pdf 167k)
Instructions and Legends (doc 57k)
 
SCH-1 Autism Registration
(Updated August 5th, 2025)
(This revised form is to be used in place of the SCH-0/SCH-1 combination.)
SCH-1 (2862k)
 
SCH-1a Anonymous Autism Registration
(Posted August 5th, 2025)
SCH-1a (907k)
 
SCH-2 Newborn Hearing Follow-Up Report
pdf (31k)
doc (77k)
Instructions (pdf 21k) Instructions (doc 32k)  
SCH-3 Lost to Hearing Follow Up Report
pdf (25k)
doc (63k)
 
Go to Special Child Health Services     Additional Health Department Forms