Written by a parent, not a doctor. Nothing here is medical advice.

Childhood Cancer Lantern
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Set up the ask

Ohio Department of Health

CMH Diagnostic Program

What you get

Help with medical tests and evaluations to identify a child’s condition. Ask whether requests are open.

Who starts it
Your care team
How it’s sent
Through your care team
Your time
One conversation with your care team
Last checked
Aug 27, 2026

Before you start, check you fit

  • Your child is 20 or under.
  • ODH site/forms are currently broken; age, authorization, financial, approved-provider, local delivery, and payer-of-last-resort rules apply.

  1. One thing to do: ask your care teamThey send it. You give them what they need.

    Ohio Department of Health takes requests from your care team, not from families. Copy this message, or say it at the next visit.

    Hi [social worker’s name],

Could you send a request to Ohio Department of Health for us? They offer help with medical tests and evaluations to identify a child’s condition, and it has to come from you. Their page is here: https://odh.ohio.gov/wps/wcm/connect/gov/c604109b-120a-4e48-8090-ff41a1c912c7/medical+application.pdf?MOD=AJPERES&CONVERT_TO=url

Tell me what you need from me and I’ll bring it to our next visit. Thank you for everything you do for us.

[your name] · [phone]
    Copying is the only thing this page does with your text. Nothing is saved.
    Their program page ↗ Checked Aug 27, 2026

    What to bring to the meeting

    • Signed CMH release and consent, either on the MAF or the separate current form.

    What happens next

    • The CMH managing physician completes the provider, diagnosis, requested-services, examination-date, and diagnostic-plan portions and attaches the required medical material.
    • The managing physician signs and submits the complete MAF, consent, and diagnostic plan to ODH so they are received within 60 days of the initial examination.
    • Watch for ODH's written approval or proposed denial and answer any request for missing information through the managing physician or CMH contact.

After your care team sends it

ODH publishes that it will notify the family, major-service providers, local health department, and managing physician of approval or proposed denial within 60 days after the last necessary document is received.

Full record, as published