Bringing Health Care & Child Care Together
To become involved
with the Early Childhood Health Project, you can
enroll as a professional consultant or an early care &
education program. Please use the appropriate link below.
Online
Enrollment Form for Professional Health Consultants
Online Enrollment Form for
Early Care & Education Programs
If you do not feel comfortable enrolling online, or have trouble submitting the online forms, you can download the enrollment forms, print them, fill them out by hand, and send them in to the address below (Please note that the following files are in Adobe pdf format. If you do not have Adobe Acrobat Reader, you can download it for free from (Adobe Inc).
Manual
Enrollment Form for Professional Health Consultants
Manual Enrollment Form for
Early Care & Education Programs
Phil Edwards
WV Department of Health & Human Resources
Office of Maternal, Child and Family Health
Division of Infant, Child and Adolescent Health
350 Capitol Street, Room 427
Charleston, WV 25301-3714
(304) 558-5388
(Office)
(304) 558-7164 (Fax)