(All fields required)
Please enter a valid email.
Please enter your name.
What Are We Asking of You?
Introduce the CHIP Study
If you are working with an Every Child Succeeds mother who has a child younger than 5 months of age, we are asking you to introduce the CHIP Study to her.
Give the Brochure
Please give ECS mothers our CHIP Study brochure, which will help explain what the study is about and what steps are involved. You can download the brochure using the link on the side.
Fax Us the Information
After explaining the study and handing out a brochure, we would like you to fax us a CHIP Study referral form telling us if the mom is interested in participating. You can download the referral form using the link on the right hand side of this page.
Mothers are eligible if they meet the following criteria:
Family is ECS Service Type only − this excludes all accounts marked as OTHER on the eECS Screening Form such as HMG Part C, HMG At Risk, first-time fathers in Kentucky.
Phone: 513-803-CHIP (2447)
3333 Burnet Avenue, Cincinnati, Ohio 45229-3026 | 1-513-636-4200 | 1-800-344-2462 | TTY: 1-513-636-4900
New to Cincinnati Children’s or live outside of the Tristate area? 1-877-881-8479
© 1999-2014 Cincinnati Children's Hospital Medical Center