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Prenatal Care Coordination Services Handbook
Appendix 16

Prenatal Care Coordination Resource Guide

Resources Available Directly from State Agencies

1. Division of Health Care Financing Publications - Available from the Division of Health Care Financing
   at the address listed below. There is no charge for the documents below.

    

   Title	Document #
   Pregnancy Questionnaire (Risk Assessment Form)	HCF 1105 (PDF, 119 KB)
   Guidance Manual for the Pregnancy Questionnaire	POH 1043
   HealthCheck Brochure (Spanish)	POH 1007S
   HealthCheck Brochure (Hmong)	POH 1007H
   HealthCheck Brochure (English)	POH 1007
   HealthCheck Poster (81/2 x 14)	POH 1041
   HealthCheck Check Stuffer/Handbill	POH 1041A
   HealthCheck Stickers	POH 1041C

   Available from: 
   Division of Health Care Financing
   Bureau of Fee-for-Service Health Care Benefits
   Attn: Forms Manager
   P. O. Box 309
   Madison, WI 53701-0309

    

2. Division of Public Health Publications - Available from the Department of Health and Family Services Forms Center
   at the address listed on the next page. There is minimal or no charge for the documents below.

    

   Title	Document #
   Family Health Resource Catalog (a list of maternal and child health education materials)	PPH 4536
   If I’m Pregnant, Can the Chemicals I Work with Harm my Baby?	DPH 7074
   Prenatal Weight Gain Grid	DOH 4056
   Planning a Healthy Pregnancy: Self Care Handbook	PPH 9322
   Planning a Healthy Pregnancy: Self Care Handbook (Spanish)	PPH 9322-S
   Caring for Your Baby: A Newborn and Infant Care Handbook	PPH 9321
   Caring for Your Baby: A Newborn and Infant Care Handbook (Spanish)	PPH 9321-S
   Healthy Start Brochure (Spanish)	PPH 0054
   Healthy Start Brochure (English)	PPH 0051
   Healthy Start Poster (Spanish)	PPH 0055
   Healthy Start Poster (English)	PPH 0051A

   Available from: 
   Department of Health and Family Services Forms Center
   P.O. Box 7850
   Madison, WI 53701-7850

   
   Resources Available from Other Organizations
   
   

3. Children’s Trust Fund - There is no charge for these documents.
   
   - Information on child abuse and neglect
   
   - Positive Parenting Kit (parenting booklet that gives insightful hints on how to "catch your kid being good")

   Available from: 
   Children’s Trust Fund
   110 E. Main St., Suite 614
   Madison, WI 53703
   (800) 262-9922 extension "KIDS" or (608) 266-6871

   Hotline Phone Numbers
   1. Wisconsin First Step/Children with Special Health Care Needs........	(800) 642-7837
   2. Maternal and Child Health Hotline........ (Provides information on services for women and children throughout Wisconsin, including WIC, Healthy Start, and HealthCheck)	(800) 722-2295
   3. Wisconsin AIDS Hotline........      Milwaukee Area........	(800) 334-2437 (414) 273-2437
   4. Wisconsin Medicaid Recipient Hotline........      Madison Area........	(800) 362-3002 (608) 221-5720

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