Healthchek is Ohio’s Early and Periodic Screening, Diagnostic and
Treatment (EPSDT) benefit.
Individuals younger than age 21 who are covered by Ohio Medicaid can
receive important preventive services through Healthchek
A list of contact information for various resources located throughout the county.
This form can be downloaded to your computer and the information typed in and saved for future use. You can re-use it from year to year by updating any relevant information and signing a new copy to turn in to the school. Please note that the form may not be fillable if it opens within your browser via a browser extension. You will need to open the file in Adobe Reader.
A Guide to Parent Rights in Special Education