Tools Document Library
 The tools listed below are samples of forms in use by Health Care for the Homeless projects. Our intent is to offer practical examples of various approaches to common problems, providing a framework for your organization to adapt, revise and build upon. While these tools reflect current standards, inclusion of materials in our collection in no way implies recommendation or endorsement of a particular item. Many of the documents are in PDF format, so you need to download the free Adobe Reader to view these documents.
| Camillus Health Concern, Miami, FL |
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Document Folder Financial Assessment; Progress note;
Pediatric Progress Note; Comprehensive Pediatric History; Adolescent Health Maintenance Assessment; HIV Specific Flow Sheet
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Camillus Folder Psychosocial Report;
Financial assessment/Sliding Fee Scale;
Registration Form;
Patient Grievances;
Women's Health Visit;
Health Maintenance Assessment - 1 month;
Health Maintenance Assessment - 2 month;
Health Maintenance Assessment - 4 month;
Health Maintenance Assessment - 6 month;
Health Maintenance Assessment - 9 month;
Health Maintenance Assessment - 12 month;
Health Maintenance Assessment - 30 month;
Health Maintenance Assessment - 3 year;
Health Maintenance Assessment - 4 year;
Health Maintenance Assessment - 5 year;
Health Maintenance Assessment - 6 year;
Health Maintenance Assessment - 7-12 year;
Adolescent Visit;
Comprehensive Pediatric History;
Dental Record;
Pediatric Progress Note - Episodic;
Adult Progress Note - Episodic;
Preventive Care Data Form,
Diabetes Maintenance Form,
Consumer Responsibilities,
Consumer Rights
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