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Georgia Department of Public Health – Children's Medical Services (CMS) fax number

(706) 802-5309

Children's Medical Services (CMS) / Women and Children Health Programs

Used for: Submit the Child Health Referral Form to the local CMS referral contact; CMS care coordinators follow up to arrange services and coordinate care.

Fax destination details

Department
Children's Medical Services (CMS) / Women and Children Health Programs
Purpose
Submit the Child Health Referral Form to the local CMS referral contact; CMS care coordinators follow up to arrange services and coordinate care.
Form
Child Health Referral Form — Child Health Referral Form
Address
1309 Redmond Rd NW, Rome, GA 30165
Voice phone
706-802-5626

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Fill out the Child Health Referral Form and fax it to the local Child Health Referral contact for CMS referral; refer to the official CMS page for program-specific guidance.

Review official form instructions

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