Potter/Randall County Home Visiting Program
Matching System Referral Form

The Potter/Randall County Home Visiting Program Matching System refers pregnant women and parents of all children birth to age five to selected evidence-based home visiting programs based on eligibility factors. All program services are provided free of charge. When a referral is received, the Matching System Coordinator will contact the family and match them with the most appropriate home visiting program.






Family Referral Information:







Names and birth dates of all children under the age of five:

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For additional information on the Potter County Home Visiting Program, call (806) 337-1700 ext.227.

This program is funded by a grant awarded to the Texas Health and Human Services Commission from the U.S.Department of Health and Human Services. Coalition of Health Services has been contracted by the Texas Health and Human Services Commission to administer the Texas Home Visiting Program for Potter/Randall County.

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