Maternal and Child Health Home Visiting Referral Form
This is a referral for home visiting services through the Maternal Child Health Division at the Ingham County Health Department. This form may be completed by prospective clients or by referring agencies. All services are voluntary, and staff use the information provided to best connect individuals with one of our home visiting programs. Once complete, the referral will be reviewed and assigned to a home visitor, who will contact the individual within three to five days.