Maternal, Child & Adolescent Health Section

Child Health & Disability Prevention (CHDP) Program - Provider Information

CHDP has moved!

Address: 333 Valencia St. 4th Floor, San Francisco, CA 94103

Phone number: 628-217-6730

Fax number: 628-217-7596

Email: chdp@sfdph.org - Providers please continue to email Care Coordination referrals and inquiries

CHDP Provider Information Notices and Provider Manual

CHDP Program Letters and Provider Information Notices
CHDP Gateway to Health Coverage Bulletins
CHDP Provider Manual
SF CHDP Providers' Directory

Enrollment Information

Providers' Qualifications
Provider Application
VFC Program

UPDATED! SF CHDP Care Coordination Request Form

All CHDP Providers – Care Coordination Request Form (updated June 2021)
New fillable form. Completed forms can be emailed to chdp@sfdph.org.

Periodicity Schedule

DHCS - CHDP Provider Information Notice No.: 10-05
Health Periodicity Table
Dental Periodicity Table

Facility Site Review

Facility Review Guidelines
Facility Site Review - Scoring Tool
Medical Record Review Guidelines
Medical Record Review - Scoring Tool