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Child Abuse Research Education and Service Institute

How to Make a Referral

  1. Complete and sign the forms listed below:
  2. Obtain immunization records. These records are often available from:
    • Medical provider
    • Daycare
    • School
    • Parent/caregiver
  3. Fax completed forms and immunization records.
    • Fax Referral, Consent, Notification of Patient Privacy, and CHEC Eligibility forms (above) and the immunization records to 856-566-6838.
    • Upon receipt of the fax, we will call you to schedule an appointment.

Comprehensive Health Evaluation for Children

  • A one-time mental health & substance abuse screening, developmental evaluation, & comprehensive physical examination
  • Includes recommendations and referrals
  • By DCP&P mandate, all children initially entering foster & kinship homes
  • Appointment within 30 days of placement
  • Provide information about the child to DCP&P staff, Resource Parents, primary care provider, HMO care coordinator, & others
  • Identify medical, developmental, & mental health difficulties with recommendations for improvement
  • Identify the child's strengths
  • Completed referral form and signed consent, notification of patient privacy, and patient eligibility forms
  • Child's immunization record
  • Medical records, school records, and any evaluation reports are also extremely helpful
  • Both resource parents & DCP&P caseworkers are encouraged to participate, but only one needs to attend the visit
  • An adult must stay with the child for the CHEC visit
  • Transportation aids may remain with the child during the visit, but someone who knows the child (such as a caseworker, foster parent, or biological parent) also needs to be present for a short portion of the appointment to provide information
  • Birth - 12 months: 2.5 hours
  • 1 - 5 years: 3 hours
  • 6 - 11 years: 3.5 hours
  • 12 - 17 years: 4 hours
  • No SAR is needed
  • Fax completed forms to 856-566-6838 (Fax)
  • CHEC evaluations appointments are Monday through Friday