MHCP Enrolled Providers

Child and Teen Checkups (C&TC) Materials List and Ordering Information

The materials listed below are available at the C&TC Providers and/or Coordinators Web site. All of these materials may be downloaded from the Web site and printed. The items with an asterisk (*) may be ordered through DHS Forms Supply.

DHS Home Web Site: www.dhs.state.mn.us

To access the C&TC Providers Web site:

  • • Click on the above link
  • • Click on “Business Partners” at the top of the page in the gray bar
  • • Click on “C&TC Providers” on the left side of the page
  • To access the C&TC Coordinators Web site:

  • • Click on the above link
  • • Click on “County and Tribal Workers” at the top of the page in the blue bar
  • • Click on “Children” on the left side of the page
  • • Click on “C&TC Coordinators” on the left side of the page
  • FORM

    TITLE

    DATE REVISED

    DHS-1826

    Child & Teen Checkups Brochure

    *English, Arabic, *Hmong, *Khmer, *Laotian, *Oromo, *Russian, *Serb-Croatian/Bosnian, *Somali, *Spanish, *Vietnamese

    English 07/04 all other languages 04/03

    DHS-2687

    Your Growing Child Brochure Newborn

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    English 07/04 all other languages 04/03

    DHS-2688

    Your Growing Child Brochure 1-3 Months

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    English 07/04 all other languages 04/03

    DHS-2689

    Your Growing Child Brochure 4-5 Months

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    English 07/04 all other languages 04/03

    DHS-2690

    Your Growing Child Brochure 6-8 Months

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    07/04 English, all other languages 04/03

    DHS-2691

    Your Growing Child Brochure 9-11 Months

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    07/04 English, all other languages 04/03

    DHS-2692

    Your Growing Child Brochure 12-14 Months

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    07/04 English, all other languages 04/03

    DHS-2693

    Your Growing Child Brochure 15-17 Months

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    07/04 English, all other languages 04/03

    DHS-2694

    Your Growing Child Brochure 18-23 Months

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    07/04 English, all other languages 04/03

    DHS-2695

    Your Growing Child Brochure 2 Years

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    07/04 English, all other languages 04/03

    DHS-2696

    Your Growing Child Brochure 3 Years

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    07/04 English, all other languages 04/03

    DHS-3362

    Your Growing Child Brochure 4-6 Years

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    07/04 English, all other languages 04/03

    DHS-3363

    Your Growing Child Brochure 7-10 Years

    *English, Arabic, *Hmong, Khmer, Laotian, Oromo, Russian, Serb-Croatian/Bosnian, Somali, *Spanish, Vietnamese

    07/04 English, all other languages 04/03

    DHS-2795

    Being a Teenager Brochure

    English

    04/03

    DHS-3379

    C&TC/EPSDT Early and Periodic Screening, Diagnosis and Treatment Schedule of Age-Related Screening Standards

    *English

    06/13

    DHS-3103

    C&TC Appointment Card

    *English

    06/01

    DHS-3124A

    C&TC Poster (Small)

    *English

    03/00

    DHS-3124B

    C&TC Poster (Large)

    *English

    02/93

    MS-1833

    A through T

    C&TC Screening Checklists for Parents

    0-1 month visit through 20 year visit

    English

    02/03

    MS-1812

    B through T

    C&TC Documentation Forms for Providers & Clinics

    0-1 month visit through 20 year visit

    English

    08/01

    Revised 6-13


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