enrolling as a CPSP Provider and
completing CPSP orientation training , CPSP Providers may refer to the following resources, when providing CPSP services to their patients.
The integrated assessment and care plan forms (when used according to the protocols with the
24-Hour Perinatal Dietary Recall (PDF), the
Perinatal Food Group Recall (PDF)or another approved Nutrition recall form, and the appropriate Prenatal Weight Gain Grid) include all required elements for CPSP.
Separate assessment must include at least all of the elements in the Integrated Forms. Contact your
local perinatal services coordinator if you wish to use a separate assessment and care plan form.