Provider Page

Referrals
Provider can  refer patients via printed form: 
• • 1. Top of form completed by patient and/or provider.
    2. Patient and provider sign and date bottom of form. 
    3. Provider submits form to the Home Visiting Network by fax or secure email:
       • • • Fax: 906-341-5230
           • Email: hpeterson@lmasdhd.org

  For questions call Hillary Peterson at 906-341-6951 ext 140


Printable Home Visiting Referral Form

Patients can  self-refer via online form: 

• • 1. Provider shares the form link with the patient.
    2. Patient completes and submits the form. 


Online Family Home Visiting Form


Once the form is submitted, a U.P. Home Visiting Network Service Coordinator will reach out  to the patient within three business days to consult with them on services to meet their needs.

About
U.P. Home Visiting: Free services for pregnant people and families with children age 5 and under in the Upper Peninsula of Michigan.

• • Resources and extra support
  • Focus on family bonding
  • Services provided wherever patient is most comfortable
  • Celebrate successes, big and small

  https://www.youtube.com/watch?v=T7YapaZfXT8
  What is the U.P. Home Visiting Network? The U.P. Home Visiting Network helps families connect to services by coordinating the home visiting programs in the Upper Peninsula of Michigan.
  Services We Can Help Connect Your Patients To

  Health
  • • Vaccinations
    • Vision and Hearing Screening
    • Health Care/Insurance
    • Dental Services
    • Mental Health Services

  Support

  • • Breastfeeding Support Counseling
    • Food Assistance
    • Financial Supports
    • Housing
    • Childcare
    • Substance Use Recovery
    • Preschool/School Resources
    • GED Services
    • Transportation
    • Legal Services
    • Smoking Cessation
    • Personal Resources (diapers, wipes, formula, etc.)

    Family

    • • Family Planning
      • Great Start Parent Coalitions
      • Early On Services
      • Parenting Classes
      • Playgroups
      • Parent Support Groups

      **Some services may not be available in all areas. A home visitor will help your patient navigate in their area.**

      Programs Available in the U.P.Maternal Infant Health Program (MIHP)
      MIHP provides professional nurses and social workers to help connect you with your doctor and other service providers in your community. Pregnant people and infants up to 1 year old, with Medicaid insurance, are eligible.Healthy Families UP (HFA UP)
      HFA UP promotes positive parenting, independence, and school readiness. Families have to be enrolled before their child turns three months old. Once enrolled, they can take part until the child turns five years old.Parents As Teachers (PAT)
      PAT promotes early development, learning and health of young kids by supporting parents. They focus on giving parents tools to succeed. It’s a program for families with pregnant people, infants, and/or toddlers up to age 4.Early Head Start (EHS)
      EHS provides support during pregnancy, activities for parents and kids, parenting tips, and in-home health and nutrition support. It is a program for income-eligible families with pregnant people, infants and/or toddlers up to age 3.Family Spirit
      Family Spirit was created for Native American Families by Native American Families. Family Spirit increases parenting knowledge, provides skills for caregivers, and supports young children in early learning and development, while weaving culture throughout the program.

      For more information, contact Hillary Peterson: 1-906-341-6951 ext 140 or hpeterson@lmasdhd.org

      
      U.P. Home Visiting Home Page