About Child Health Notes

Child Health Notes (CHNs) are brief newsletters, written by pediatric experts at the  University of Washington in collaboration with content area specialists and community partners.   Current topics are those developed within the past 3-4 years.

Newest CHNs:

Medical Home: Child Health Notes (CHN)The newsletters are provided as a resource for communities to distribute to local primary care providers and others to support the early identification and comprehensive, coordinated care of children and youth with special health care needs.  Communities adapt each issue to include contact information for key local community resources for children with special needs,  such as public health, early intervention, schools and family support.

Child Health Notes are available:

1) As templates in Microsoft Word®  format to which communities then add local resource information.  Instructions are provided for completing each CHN if needed.
2) If you are only interested in reading the topic specific content, please read the generic PDF version of the CHNs below (only for recent  CHNs)

Examples of CHNs sent out by participating counties can be accessed from the CHN Network page or by emailing Kate Orville at orville@uw.edu

Sending a CHN for the first time? See Getting Started.

Tools and Resources for Office Practice

Child Health Notes

Guide Date
Decision Tree: Child with Special Needs Referral Process Option 1      Option 2

Early Intervention





First Steps Program (PDF version) Docs 10/17
Formula for Full-Term Infants (PDF version) Docs 1/15
Special Education – The Key Things to Know (State PDF version) Docs 7/19
Supplemental Security Income (SSI) for Infants and Children  (State PDF Version) Docs 10/19
WithinReach Resource Finder: Help for Children with Autism Spectrum Disorders and Other Special Health Care Needs and Their Families Docs 10/15

Screening and Anticipatory Guidance

Child Health Notes

Guide Date
Adolescent Depression: Screening and Management in Primary Care
Docs 5/18
Blood Lead Screening and Testing Recommendations
Docs 3/17
Developmental Surveillance and Screening in Primary Care (PDF) Docs 4/14
Developmental Surveillance and Screening in Primary Care: How to “Wait and See” Docs 4/14
Early Brain and Child Development Docs 7/14
Early Hearing Detection, Diagnosis, and Intervention (EHDDI) Program  (WA State PDF Version) Docs 1/20
Postpartum Depression: more common than you may think… and more significant for the child than you may be aware! Docs 4/16
Red Flags in Speech and Language Development Docs  9/16
Ubiquitous Screens: Recommendations on Media Use for Infants, Children and Adolescents (PDF) Docs 1/19

Special Health Concerns

Child Health Notes

Guide Date
Adverse Childhood Experiences (ACEs) (Generic PDF version)Kitsap version of ACES CHN, adapted with permission by Kitsap County Medical Home Team and KitsapStrong Docs 3/16
Attention-Deficit / Hyperactivity Disorder (ADHD)       (WA State PDF Version)

Autism Spectrum Disorder:  An Overview      (WA State PDF Version)

Serving Children with ASD in Primary Care (County Template – Word) (WA State PDF)







Health Management of Children with Autism Spectrum Disorder: Co-Occurring Gastrointestinal Problems and Sleep Disorders Docs 5/20
Late and Moderate Preterm Infants: Best Practices for a Population at Risk (Generic PDF version) Docs 10/18
Neonatal Abstinence Syndrome (Generic PDF version) Docs 7/18
Speech Disfluency and Stuttering in Early Childhood Docs 3/17
What Is Autism Now? The New DSM-5 Definition (Generic PDF version) Docs  7/15
What’s new in Down syndrome? Information for counseling parents (Generic PDF version) Docs 7/17

We have archived CHN Topics for Child Health Notes developed more than 4 years ago.These older issues will have outdated links and may have outdated didactic information.


When customizing any CHN for use in your community, we recommend that you check the resource information to assure absolute accuracy. If you plan to make changes to didactic content, please consult the CHN Project Coordinator.

We Want to Hear From You!

This list will be updated as additional topics are developed. Recommendations for new topics are welcome. We encourage you to share your ideas for new CHN topics, suggestions for revisions to content or updates to resource information for any CHN.

For more information about Child Health Notes, please contact:

Sophie Lu, MN, PPCNP-BC, ARNP  sophielu@uw.edu