American Cancer Society 1-800-ACS-2345 American Heart Association 1-800-AHA-USA1 Child Abuse Hotline 1-800-932-0313 Children’s Health Insurance Program 1-800-986-KIDS CONNECT
(handicapped children special education information)

If I can be of assistance in any state-related matter, don’t hesitate to contact or visit my office.

1-800-692-7288 Health Information Pa. Department of Health 1-877-724-3258 Juvenile Diabetes Foundation 1-800-533-CURE Library Service for the Blind and Handicapped Western Pa. — 1-800-242-0586 Eastern Pa. — 1-800-222-1754 Missing & Exploited Children Hotline 1-800-843-5678 Poison Control Center 1-800-222-1222 Runaway Switchboard 1-800-786-2929 Social Security Administration 1-800-772-1213 Special Kids Network
(referral service for kids with special health needs)

State Representative

Compliments of

Jesse White

Capitol offiCe: 102B East Wing • P.O. Box 202046 Harrisburg, PA 17120-2046 Phone: (717) 783-6437 • Fax: (717) 780-4781 DiStRiCt offiCeS: Cecil: 3855 Millers Run Road P.O. Box 285 • Cecil, PA 15321 Phone: (724) 746-3677 • Fax: (724) 746-3799 Burgettstown: 1425 Burgettstown Plaza #5 Burgettstown, PA 15021 Phone: (724) 947-4422 • Fax: (724) 947-5386 Canton Township: 2403 Jefferson Ave. • Suite C Washington, PA 15301 Phone: (724) 222-4192 • Fax: (724) 222-4194 WeBSite:

1-800-986-4550 Vital Records
(birth certificates) or visit your local state representative’s office.

rev.lpo.kaf 0705


Raising a child is definitely one of life’s greatest challenges. It is also one of life’s most rewarding challenges. This brochure will provide a recommended immunization schedule, and information on poison control, nutrition and health insurance. In addition, you will find a listing of useful phone numbers for state agencies and other organizations that can provide valuable childrelated information.

According to statistics, poisoning of children under 6 accounts for almost 50 percent of all poisonings. Some of the common items that are responsible for poisonings are: pharmaceuticals, cleaning products, plants and cosmetics. Other items reported to have been causes of poisonings are personal care products, insecticides and pesticides. If you suspect that your child has been exposed to or has ingested a dangerous product, call your local poison center immediately at 1-800-222-1222. Help is available 24 hours a day, seven days a week. Make sure you have with you the container of the item you think was ingested when you call the poison center in the event you need to give detailed content information.

Full Name ________________________________________________________ Date of Birth: ______________________________________________________ Weight: __________ Height: ___________ Sex: _______ Race: _____________ Eyes: _________________ Hair: ________________ Blood Type: ___________
Vaccine Vacuna Date Given Dada en la Fecha Doctor or Clinic Doctor o Clinica Due Proxima Vacuna


DTaP/DTP/DT 1 DTaP/DTP/DT 2 DTaP/DTP/DT 3 DTaP/DTP/DT 4 DTaP/DTP/DT 5 Td 1 Td 2 Hib 1 Hib 2 Hib 3 Hib 4 IPV/OPV 1 IPV/OPV 2 IPV/OPV 3 IPV/OPV 4 Hep B 1 Hep B 2 Hep B 3 MMR I MMR 2 Varicella

2 mos. 4 mos. 6 mos. 16-18 mos. 4-6 yrs. 11-16 yrs. every 10 yrs. 2 mos. 4 mos. 6 mos. 12-15 mos. 2 mos. 4 mos.
OPV 6-18 mos. IPV 12-18 mos.


Immunization for basic childhood diseases is a vital part of your child’s health care. Pennsylvania law requires insurance companies to cover the following vaccinations: measles, mumps, whooping cough and other preventable childhood diseases. Policies must also cover the cost of booster shots. I have included an immunization record in this brochure for you to keep a record of your child’s immunizations. This information will be required when your child enters school. It is also helpful should you move, change doctors or need to obtain emergency medical treatment for your child.


4-6 yrs. birth to 2 mos. 1-4 mos. 6-18 mos. 12-15 mos. 4-6 yrs. 12 mos. Tuberculin Test (TB) – Tests de Tuberculina
Date – Fecha Results – Resultados

Health insurance is a necessity for your children. Unfortunately, not all employers provide coverage for an employee’s dependents and many families cannot afford to purchase private insurance coverage. The Children’s Health Insurance Program is a state-funded program that provides health insurance coverage for children whose parents cannot afford private insurance but whose incomes are too high to qualify for welfare or Medicaid. To see if your children are eligible to participate in CHIP, please contact my office for more information and an application.


Your baby’s diet is crucial to the healthy physical and mental development of your child. If you have questions or concerns about infant and child nutrition, you can visit the American Academy of Pediatrics’ Web site at www.

Date – Fecha

Results – Resultados

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