It is still necessary to submit the Public Health Services Report Form when contact is not made or services are refused?
Yes. To document these situations and remain in compliance with the SIDS mandates, there is a section on the form related to the Primary Caretaker and Childcare Provider which states, “contact not established” and “reason.” This section should be completed with any information you have obtained. Some reasons contact may not be established might include: “unable to locate family as they have moved, no forwarding address,” “family resides in another county, case referred to the SIDS Coordinator there,” or “contact not appropriate upon further investigation as cause of death not determined to be a presumed SIDS.” This same documentation is required when services are refused. Examples might include: “family states they are leaving the area, do not want services,” “planning funeral, not interested in PHN services. Might want follow up later,” or “family discussed PHN home visit with attorney, was advised to decline services.
Related Questions
- Is the Public Health Services (PHS) Report Form the only document that the SIDS professional needs to submit to the California SIDS Program?
- It is still necessary to submit the Public Health Services Report Form when contact is not made or services are refused?
- When should the Public Health Services Report Form and any other documents be sent to the California SIDS Program?
