Arizona Family Resources

Once a crisis situation has been stabilized, the child's DDD support coordinator and DCS case manager should be notified if they are not already aware of the situation.

If you are a licensed foster parent, in addition to informing the DDD support coordinator and DCS case manager, your licensing specialist should be notified and a Unusual Incident Report Form (Spanish) must be completed.

You can find a covered pharmacy for your plan at the links below:

Arizona Complete Health members can fill prescriptions at any in-network pharmacy, including major chains like CVS, as well as grocery store pharmacies. (Walgreens is NOT in our network). For mail-order options, CVS Caremark is the preferred provider.
Starting October 1, 2024, Arizona Complete Health-Complete Care Plan welcomes all Care1st Health Plan Arizona members! Arizona Complete Health-Complete Care Plan will be available statewide.

Banner University Family Care members can fill prescriptions at any in-network pharmacy, including major chains like CVS, as well as grocery store pharmacies. (Walgreens is NOT in our network). For mail-order options, CVS Caremark is the preferred provider. Also, prescriptions may be filled at: EVERNORTH CARE PHARMACY, BANNER FAMILY PHARMACY, GENOA HEALTHCARE

UnitedHealthcare Community Plan members can fill prescriptions at any in-network pharmacy, including major chains like CVS, as well as grocery store pharmacies. (Walgreens is NOT in our network). For mail-order options, CVS Caremark is the preferred provider. Also, prescriptions may be filled at: EVERNORTH CARE PHARMACY, BANNER FAMILY PHARMACY, GENOA HEALTHCARE

Although it is not a requirement to keep a log of medications it is recommended that dosages and medications are logged. Keeping documentation of medications to show the child's doctor could be helpful in determining a medication's effectiveness, determining the correct dosage and preventing medication errors. Keeping medication logs also demonstrates compliance with doctor's orders.

This document will help you organize and store all of the records, information, and documents for a child in foster care.

Click here for medication disposal sites.

It is a good idea to store the child's records in a notebook/binder that you can bring to Child and Family Team (CFT) meetings and other appointments. This document will help you organize and store all of the records, information, and documents for a child in foster care. If the child moves to a new foster home, send this notebook/binder to the new care providers.

Also, remember that the child's case record is confidential. Be sure to keep the child's records stored in a secure location in your home that only the foster parents (you) can access.

The insurance card should come through the health plan your child is enrolled in. Your DDD service coordinator, DCS case manager, or licensing worker can assist as well.

If you do not receive a card you can contact the health plan's member services:

Foster parents do not need to pay for these services; ALTCS provides the funding for these services. If you get a bill for a service that is covered, contact the agency that sent you the bill. You are not responsible to pay out of pocket costs, including AHCCCS co-payments. If you continue getting billed, contact the health plan's (Arizona Complete Health, Banner University Family Care, UnitedHealthcare Community Plan) member services:

You can find covered providers under your plan at the links below:
Arizona Complete Health
Banner University Family Care
UnitedHealthcare Community Plan

Based on the child's needs, they may qualify for one or more of the following services:

• Attendant Care
• Augmentative Communication
• Behavioral Health
• Day Treatment
• Extended Employment Services
• Habilitation
• Home Health Aide
• Home Health Nurse
• Homemaker
• Home Modification
• Hospice
• Non-Emergency Transportation
• Respite – up to 600 hours based on assessed needs.
• Support Coordination
• Therapies: Occupational, Physical, and Speech.

**If you are a licensed foster parent please speak to your service coordinator and licensing worker as some of the above listed services are to be provided by the foster parent after having completed additional training. Services webpage here

More information can be found in the ALTCS handbook here

More information can be found in the Mercy Care DCS CHP handbook here

A service authorization is an approval from ALTCS or your acute health plan to get the services you have requested. Services must be medically necessary and cost effective. They must also be based on assessments. Some services may have service limits. A Service Plan will be developed that lists the services that will be provided. Your Primary Care Provider (PCP) will approve your acute medical services. Your Support Coordinator may approve some services. Some services need additional review to approve. You can find services that need additonal review here by clicking on the “Help for Individuals & Families” link first.

For more information you can refer to the ALTCS Member Handbook here

Kinship caregivers/Foster caregivers should provide transportation to medical and behavioral health appointments. If you are unable to provide transportation, contact your DDD Support Coordinator for transportation assistance. DCS CHP member services may be contacted for additional help. 602.351.2245 option 3

If there are concerns regarding the services the child is receiving you can contact the specific health plan for the child or the Division of Developmental Disabilities Customer Service Center 1-844-770-9500 (toll free) or DDDCustomerServiceCenter@azdes.gov

The Arizona Department of Health recommends following the schedules published by the U.S. Centers for Disease Control and Prevention.

The Arizona Department of Health Services (DHS) maintains an electronic registry of immunizations, and Arizona providers are mandated by law to report all immunizations of children ages birth through 18 in Arizona.

To get a copy of a child's immunization records, fill out the immunization records request form, and fax (602-364-3285) or email (ASIISrequest@azdhs.gov) the form along with a copy of the Notice to Provider, a copy of your driver's license, and instructions for where the records should be faxed, emailed, or mailed back to you.

You can also pick up a copy of a child's immunization records in person at the Arizona Department of Health Services, Immunization Program Office at 150 N. 18th Avenue, Suite 120 Phoenix, AZ 85007 by bringing the notice to provider and a valid ID.

Your DCS case manager or DDD support coordinator can also assist in obtaining the child's immunization records.

A dental examination for each child age 1 year or older as soon as possible but no later than within 30 days of placement.

A child 1 year old and older must see a dentist every six months or as needed.

Click here to view a chart about required medical and dental appointments for children in care.

Within 30 days of placement, foster parents should:

• Obtain a well-child (EPSDT-Early Periodic Screening, Diagnostic and Treatment) medical examination
• Identify who will be the child's primary care physician, and notify CMDP with their selection

Each child must have a wellness exam every 12 months. A child under two years of age will have more frequent wellness exams.

For more details on required exams and timelines click here

Your DCS case manager or DDD support coordinator manager will ask you about medical and dental appointments so it is a good idea to keep records of these.

Click here to view a chart about required medical and dental appointments for children in care.

If you have a placed child under 3 years of age and have concerns about how your child:

• Plays and interacts with others
• Learns
• Communicates
• Moves
• Sees
• Hears

You can request early intervention services through The Arizona Early Intervention Program (AzEIP). AzEIP is Arizona's statewide system of supports and services for infants and toddlers (birth to 36 months) with developmental delays or disabilities and their families.

• Provide care to the child in a manner that supports independence, self-esteem, respect, value, and dignity.
• Actively participate in the child's Planning Team.
• Attend medical appointments, therapeutic appointments and advanced training to appropriately meet the child's medical/therapeutic needs.
• Report incidents to the DDD Support Coordinator, DCS case manager, and your licensing worker if you are licensed, as well as complete a Unusual Incident Report form (Spanish)

Ensure that the child's caseworker provides you with the Health and Medical Report. Ask the caseworker to provide all medical information that is in the child's file. With the Notice to Provider that you receive upon placement, you can also request records from past medical, dental, vision, and behavioral health providers.

It is a good idea to store the child's records in a notebook/binder that you can bring to Child and Family Team (CFT) meetings and other appointments. This document will help you organize and store all of the records, information, and documents for a child in foster care. If the child moves to a new foster home, send this notebook/binder to the new care providers.

Also, remember that the child's case record is confidential. Be sure to keep the child's records stored in a secure location in your home that only the foster parents (you) can access.

Child’s Case Records: Notebook Organizer

Licensed foster parents are to notify DCS and their licensing agency within 24 hours if their child has an illness, injury, change of medication, or medication error that results in seeking medical attention.

Licensed foster parents are to notify DCS and their licensing agency immediately if their child dies, has a serious illness or injury requiring hospitalization, or receives urgent care or emergency room treatment and whenever emergency services (911) is contacted.

Within 24 hours of any of the above noted incidents, licensed foster parents shall complete an Unusual Incident Report form (Spanish) and submit it to their licensing agency.

Unlicensed kinship foster parents are to notify DCS within 2 hours of the following: death of a child or hospitalization (medical or psychiatric).

Unlicensed kinship foster parents are to notify DCS within 48 hours if the child becomes seriously ill.

Ensure that the child's caseworker provides you with the Health and Medical Report. Ask the caseworker to provide all medical information that is in the child's file. With the Notice to Provider that you receive upon placement, you can also request records from past medical, dental, vision, and behavioral health providers.

The Arizona Department of Health Services (DHS) maintains an electronic registry of immunizations, and Arizona providers are mandated by law to report all immunizations of children ages birth through 18 in Arizona.

To get a copy of a child's immunization records, fill out the immunization records request form, and fax (602-364-3285) or email (ASIISrequest@azdhs.gov) the form along with a copy of the Notice to Provider, a copy of your driver's license, and instructions for where the records should be faxed, emailed, or mailed back to you.

You can also pick up a copy of a child's immunization records in person at the Arizona Department of Health Services, Immunization Program Office at 150 N. 18th Avenue, Suite 120 Phoenix, AZ 85007 by bringing the notice to provider and a valid ID.

Your DCS case manager or DDD support coordinator can also assist in obtaining the child's immunization records

Once a crisis situation has been stabilized, the child’s DCS case manager should be notified if they are not already aware of the event. If you are a licensed foster parent, in addition to informing the DCS case manager your licensing specialist should be notified and an Unusual Incident Report form (Spanish) must be completed.

Caregivers of someone receiving behavioral health services can use a maximum of 600 hours per year per enrolled member. To request respite through your behavioral health provider speak with the provider about a referral. Respite can also be discussed at your CFT meeting.

Psychotropic medications are covered by the RBHA. In order to fill prescriptions for psychotropic medications, the pharmacist should refer to the RBHA information listed on the front of the card; this information includes the RBHA's phone number in the event there are any coverage questions.

If you are a licensed foster parent, medications must be stored according to Title 21. Per Title 21 Chapter 8, Article 1,A licensed foster parent shall ensure all medications are kept in locked storage; a lock is defined as “a device operated by a key, combination, magnet, keycard, or other tool .” Locks must not include a locked door for a room that serves an alternate purpose (laundry room, garage, office, daily use closets, bathrooms, kitchens, bedrooms, etc.) Medication means both prescription and over-the-counter remedies.

If you are an unlicensed provider, although it is not required to lock medications, it is recommended that medications be safeguarded for safety.

Although it is not a requirement to keep a log of medications it is recommended that dosages and medications are logged. Keeping documentation of medications to show the child's doctor could be helpful in determining a medication's effectiveness, determining the correct dosage and preventing medication errors. Keeping medication logs also demonstrates compliance with doctor's orders.

This document will help you organize and store all of the records, information, and documents for a child in foster care.

American Academy of Child and Adolescent Psychiatry has two web pages with abundant information about the Use of Psychotropic Drugs in Children and Adolescents. Click here to view the first webpage. Click here to view the follow-up webpage.

This guide includes charts of psychotropic drug information --- dosages, side effects, and clinical monitoring recommendations. Click here to review this information.

DCS has helpful information for caregivers. Click here to review this information.

Click here for medication disposal sites.

The DCS case manager should provide you with the child's DCS CHP card. If the card is not provided by DCS you can contact DCS CHP at 602-351-2245 or 1-800-201-1795 (option 3)

For a link to the DCS CHP Member Handbook click here

No. There are no payments, fees or copayments for foster children or their caregivers for medical, dental, vision, or behavioral health services and equipment. Members and foster caregivers should not be billed for any services that DCS CHP covers. DCS CHP's payment to the provider is considered payment in full.

List DCS CHP as the responsible party on medical, dental, and vision forms. You do not need to list any personal information on any bills or claims.

Most AHCCCS members receive all behavioral health services through their chosen AHCCCS Complete Care plan. This link has information for all the AHCCCS health plans.

A RBHA is a designated agency contracted by the state to coordinate and manage publicly funded behavioral health services for children, adults and their families within a given community. In Arizona the RBHAs that services your area are determined by your Geographic Service Area or Tribal/Regional Behavioral Health Authorities (T/RBHAs). To determine which RBHA serves your location click here.

Some common behavioral health services available to children in foster care include:

• DCS stabilization teams
• High-needs case management
• Psychiatric services
• Behavior coaching
• Respite care
• Individual and family therapy

In some regions, some behavioral health services may be provided in the home rather than in the office. Talk to the behavioral health provider that has been assigned to the child to find out what options are available.

A Child and Family Team (CFT) is formed when your child begins to receive behavioral health services. This team is made up foster/kinship caregivers, the child (if age appropriate), the child's services providers (including the RBHA case manager) , the child's parents, and could include other important adults involved in the child's life. The purpose of the team is to determine what services are needed, to create a service plan to meet the child's behavioral health needs, and to identify any gaps in services. The meeting frequency of the team depends on the needs of the child and the progress of services.

For information on how to prepare for a CFT click here.

Children are assigned either a low needs or high needs case manager with their RBHA contracted behavioral health service agency. These case managers are responsible for overseeing and coordinating the child's behavioral health services and will facilitate the CFT meetings.

When a child's case becomes complex and involves multiple services providers, a high needs case manager is assigned to better meet the child's needs, including facilitating more frequent CFT meetings.

The foster or kinship caregiver can consent to assessment, evaluation and treatment for routine medical and dental treatment and procedures, including behavioral health services. Examples of behavioral health services caregivers can consent to include:

• Assessment and Service Planning
• Counseling and Therapy
• Rehabilitation Services
• Medical Services
• Psychiatric evaluation
• Psychotropic medication
• Laboratory devices
• Crisis Intervention Services
• Behavioral Health Day Programs
• Support Services
• Case management
• Personal care services
• Family support
• Peer support
• Respite
• Sign language or oral interpretive services
• Transportation

DCS must consent to inpatient assessment, inpatient psychiatric care services, residential treatment services, therapeutic group homes, and Home Care Training to Home Care Client (HCTC).

A request for an evaluation for medication can be done through the CFT or directly through the medical behavioral health provider. The decision to have the child evaluated should be done in collaboration with the CFT, which includes the DCS case manager, and the concerns discussed at the CFT should be shared with the prescribing doctor. For information on how to prepare for the evaluation click here.

Talk to the child's therapist to find out what other options are recommended. Request a Child and Family Team (CFT) meeting to discuss these options and get approval.

Caregivers should provide transportation to medical and behavioral health appointments. If you are unable to provide transportation, contact your DCS worker for transportation assistance. DCS CHP member services may contacted for additional help. 602.351.2245 option 3

If services are not initiated within 21 calendar days or there are any other concerns regarding behavioral health services, the caregiver must notify both the behavioral health plan's Children's Liaison and AHCCCS Customer Service using the contact information found here here

The caregiver must give the signed Notice to Provider Form received from DCS to the treatment provider in order to receive a foster child's behavioral health treatment information. The behavioral health provider must provide records and information related to the child's condition and treatment to the caregiver.

It is a good idea to store the child's records in a notebook/binder that you can bring to Child and Family Team (CFT) meetings and other appointments. This document will help you organize and store all of the records, information, and documents for a child in foster care. If the child moves to a new foster home, send this notebook/binder to the new care providers.

Also, remember that the child's case record is confidential. Be sure to keep the child's records stored in a secure location in your home that only the foster parents (you) can access.

Licensed foster parents are to notify DCS and their licensing agency within 24 hours if their child has an illness, injury, change of medication, or medication error that results in seeking medical attention.

Licensed foster parents are to notify DCS and their licensing agency immediately if their child dies, has a serious illness or injury requiring hospitalization, behavior not witnessed before and any other unusual incident that seriously jeopardized the health, safety, or well-being of a foster child or receives urgent care or emergency room treatment and whenever emergency services (911) is contacted.

Within 24 hours of any of the above noted incidents, licensed foster parents shall complete an Unusual Incident Report form (Spanish) and submit it to their licensing agency.

Unlicensed kinship foster parents are to notify DCS within 2 hours of the following: death of a child or hospitalization (medical or psychiatric.)

Unlicensed kinship foster parents are to notify DCS within 48 hours if the child becomes seriously ill.

• Participate in the CFT Meetings
• Ensure the child attends appointments for services
• Document and report any incidents or changes regarding the child's behavior
• Ensure medications are administered correctly if prescribed
• Keep documentation for behavioral health services (CFT service plan, progress reports, etc)

A New Leaf's therapeutically-based program uses a strengths-based model, that engages your child in structured activities to promote progress toward identified treatment goals. The purpose is to improve the home, school, and social functioning through a variety of planned and supervised activities, both onsite and in the community. Structured group activities help to improve communication, social skills, and healthy choices with the goal of a successful transition back to community based after school programs.

Devereux's Boost Program (Tucson) is designed to provide support and assistance to licensed foster parents and unlicensed kinship parents when children demonstrate challenging behaviors in the the home. Flyer

Pinal
Foster Care Stabilization Team- Participate in the CFT and and provide intensive services for up to 30 days. Provide behavior modification, support, and psychoeducation to the child and family.

Download a guide to understand the needs, support and treatment of children and adolescents in foster and adoptive care here.

For FAQs regarding behavioral health click here

For additional information and training regarding behavioral health through Mercy Care, click here

Licensed foster parents are to notify DCS and their licensing agency within 24 hours if their child has an illness, injury, change of medication, or medication error that results in seeking medical attention.

Licensed foster parents are to notify DCS and their licensing agency immediately if their child dies, has a serious illness or injury requiring hospitalization, or receives urgent care or emergency room treatment and whenever emergency services (911) is contacted.

Within 24 hours of any of the above noted incidents, licensed foster parents shall complete an Unusual Incident Report form (Spanish) and submit it to their licensing agency.

Unlicensed kinship foster parents are to notify DCS within 2 hours of the following: death of a child or hospitalization (medical or psychiatric).

Unlicensed kinship foster parents are to notify DCS within 48 hours if the child becomes seriously ill.

Walgreens pharmacies DOES NOT accept DCS CHP. You can find other pharmacies, by using the DCS CHP Provider Directory.

Yes, prescription medications are covered by DCS CHP with no copay. If there is an issue with coverage contact member services at 602-351-2245

If you do not have a copy of the DCS CHP card, call 602-351-2245 to get a card. While you are waiting for the DCS CHP card you can use the Notice to Provider to fill prescriptions.

Some over the counter medications may be covered when the child's physician writes a prescription.

When a child is placed in foster or kinship care by DCS, the caregiver does not need to pay for any necessary medical services, dental services or prescriptions even if he or she is asked to.

If you are having difficulty getting prescriptions filled you can contact:

• The DCS Specialist who will arrange to have the medication covered.
• The DCS Warm Line: 1-877-KIDS-NEEDU or 1-877-543-7633 option 3 (M-F 8:15-4:30)
• The After Hours Hotline: 1-888-SOS-CHILD or 1-888-767-2445

If you are a licensed foster parent, medications must be stored according to Title 21. Per Title 21 Chapter 8, Article 1,A licensed foster parent shall ensure all medications are kept in locked storage; a lock is defined as “a device operated by a key, combination, magnet, keycard, or other tool .” Locks must not include a locked door for a room that serves an alternate purpose (laundry room, garage, office, daily use closets, bathrooms, kitchens, bedrooms, etc.) Medication means both prescription and over-the-counter remedies.

If you are an unlicensed provider, although it is not required to lock medications, it is recommended that medications be safeguarded for safety.

Although it is not a requirement to keep a log of medications it is recommended that dosages and medications are logged. Keeping documentation of medications to show the child's doctor could be helpful in determining a medication's effectiveness, determining the correct dosage and preventing medication errors. Keeping medication logs also demonstrates compliance with doctor's orders.

This document will help you organize and store all of the records, information, and documents for a child in foster care.

Click here for medication disposal sites.

The DCS CHP insurance card is generally available about a week after the child is placed into foster care and should be provided to you by the DCS case manager. If you do not receive a card or need a replacement card email DCS CHPMemberServices@azdcs.gov or call DCS CHP Member Services (602) 351-2245 or toll-free 1-800-201-1795 (option 3) for help. The DCS CHP office generally mails the carde within a day or two of the request.

**If you do not have the child's DCS CHP card, the Notice to Provider can be used as a temporary card.

No. There are no payments, fees or copayments for foster children or their caregivers for medical, dental, vision, or behavioral health services and equipment. Members and foster caregivers should not be billed for any services that DCS CHP covers. DCS CHP's payment to the provider is considered payment in full.

List DCS CHP as the responsible party on medical, dental, and vision forms. You do not need to list any personal information on any bills or claims.

You can find a Provider by calling DCS CHP at 602-351-2245 press 1, then 3 or accessing the DCS CHP Provider Directory feature on the DCS CHP website

DCS CHP provides coverage for Preventative Care such as Well Child Checks, Shots, Medical, Dental, Vision and Drugs. Co-pays are not required for any DCS CHP covered services.

• general anesthesia
• any non-routine surgery or medical treatment
• blood transfusions, human immunodeficiency virus (HIV) testing
• a clinical trial for HIV/AIDS treatment
• pregnancy termination or pregnancy termination related treatments

Kinship/Foster caregivers should provide transportation to medical and behavioral health appointments. If you are unable to provide transportation, contact your DCS worker for transportation assistance. DCS CHP member services may contacted for additional help. 602.351.2245 option 3

Members may file an appeal of any DCS CHP action to deny, reduce, suspend, or terminate a service. A provider may file an appeal on behalf of a member but only with the written consent of the member's authorized representative (i.e., the custodial agency representative or juvenile justice representative).

To file a grievance in writing, you can send an e-mail to ombudsman@azdcs.gov.

For more information on DCS CHP Appeals and Grievances please refer to the member handbook found here

The Arizona Department of Health recommends following the schedules published by the U.S. Centers for Disease Control and Prevention.

The Arizona Department of Health Services (DHS) maintains an electronic registry of immunizations, and Arizona providers are mandated by law to report all immunizations of children ages birth through 18 in Arizona.

To get a copy of a child's immunization records, fill out the immunization records request form, and fax (602-364-3285) or email (ASIISrequest@azdhs.gov) the form along with a copy of the Notice to Provider, a copy of your driver's license, and instructions for where the records should be faxed, emailed, or mailed back to you.

You can also pick up a copy of a child's immunization records in person at the Arizona Department of Health Services, Immunization Program Office at 150 N. 18th Avenue, Suite 120 Phoenix, AZ 85007 by bringing the notice to provider and a valid ID.

A dental examination for each child age 1 year or older as soon as possible but no later than within 30 days of placement.

A child 1 year old and older must see a dentist every six months or as needed.

Click here to view a chart about required medical and dental appointments for children in care.

Within 30 days of placement, foster parents should:

• Obtain a well-child (EPSDT-Early Periodic Screening, Diagnostic and Treatment) medical examination
• Identify who will be the child's primary care physician, and notify CMDP with their selection

Each child must have a wellness exam every 12 months. A child under two years of age will have more frequent wellness exams.

For more details on required exams and timelines click here

Your DCS case manager or DDD support coordinator manager will ask you about medical and dental appointments so it is a good idea to keep records of these.

Click here to view a chart about required medical and dental appointments for children in care.

Ensure that the child's caseworker provides you with the Health and Medical Report. Ask the caseworker to provide all medical information that is in the child's file. With the Notice to Provider that you receive upon placement, you can also request records from past medical, dental, vision, and behavioral health providers.

It is a good idea to store the child's records in a notebook/binder that you can bring to Child and Family Team (CFT) meetings and other appointments. This document will help you organize and store all of the records, information, and documents for a child in foster care. If the child moves to a new foster home, send this notebook/binder to the new care providers.

Also, remember that the child's case record is confidential. Be sure to keep the child's records stored in a secure location in your home that only the foster parents (you) can access.

Child’s Case Records: Notebook Organizer

Licensed foster parents are to notify DCS and their licensing agency within 24 hours if their child has an illness, injury, change of medication, or medication error that results in seeking medical attention.

Licensed foster parents are to notify DCS and their licensing agency immediately if their child dies, has a serious illness or injury requiring hospitalization, or receives urgent care or emergency room treatment and whenever emergency services (911) is contacted.

Within 24 hours of any of the above noted incidents, licensed foster parents shall complete an Unusual Incident Report form (Spanish) and submit it to their licensing agency.

Unlicensed kinship foster parents are to notify DCS within 2 hours of the following: death of a child or hospitalization (medical or psychiatric).

Unlicensed kinship foster parents are to notify DCS within 48 hours if the child becomes seriously ill.

Ensure that the child's caseworker provides you with the Health and Medical Report. Ask the caseworker to provide all medical information that is in the child's file. With the Notice to Provider that you receive upon placement, you can also request records from past medical, dental, vision, and behavioral health providers.

The Arizona Department of Health Services (DHS) maintains an electronic registry of immunizations, and Arizona providers are mandated by law to report all immunizations of children ages birth through 18 in Arizona.

To get a copy of a child's immunization records, fill out the immunization records request form, and fax (602-364-3285) or email (ASIISrequest@azdhs.gov) the form along with a copy of the Notice to Provider, a copy of your driver's license, and instructions for where the records should be faxed, emailed, or mailed back to you.

You can also pick up a copy of a child's immunization records in person at the Arizona Department of Health Services, Immunization Program Office at 150 N. 18th Avenue, Suite 120 Phoenix, AZ 85007 by bringing the notice to provider and a valid ID.