Materials Order Form for Providers

Don't use this online order form if you are a parent who needs to receive parentage materials for personal use. Please call 800-442-5437. The receptionist can mail you the materials, or you can download the Acknowledgment of Parentage form directly from the Department of Health. This order form is intended for birth provider use only.

 

Organization
Organization Address
Person Placing the Order
Name

Materials You May Order Online

Acknowledgment Video
Acknowledgment Video QR Code Flyer (DSHS 22-1973)
Acknowledgment Video QR Code Brochure Insert (DSHS 22-1972)
Establish Parentage for Your Child's Sake Brochure (DSHS 22-586)
Voluntary Paternity Testing Program (DSHS 22-1443)

Note: this is the DCS no-cost genetic testing for parents who qualify

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