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Tool Box
Manual for the Management of Binational Tuberculosis Patients
Files
- Binational Tb.pdf( 2,455.06 Kb )
Hepatitis Charting
This resource provides a straightforward tool to use to develop effective hepatitis risk assessment with adult clients through your clinic charting system.
Files
- Hepatitis Charting Handoutstd.pdf( 5,754.92 Kb )
Domestic Violence Screening Low Literacy Form
This is a one page tool used by community health workers to evaluate individuals for family violence. The tool is designed for use with low literacy populations and uses pictures instead of words to communicate.
Files
- Icon Form English2.pdf( 3,114.94 Kb )
- Icon Form Spanish.pdf( 3,260.76 Kb )
Evaluation Tool for Physical Abuse, English and Spanish
One page tool to use in evaluating the possibility of physical abuse.
Files
- Evaluationfor Physical Abuse.pdf( 748.65 Kb )
Binational Immunization Guide: Interpreting Immunization Schedules Mexico to California
This Guide provides information on Mexico's Immunization Schedule, including number of doses and recommended ages.
Files
- Biig-mx-ca.pdf( 5,729.86 Kb )
Health Network enrollment packet
Enrollment into the Health Network has been made easier. All forms have been consolidated into this one simple application packet. Choose from English, Spanish, Creole, and Portuguese. VIsit MCN's Health Network page to learn more abou the program and the application process.
Files
- Hn Enrollment Packet English.pdfHealth Network Enrollment Packet [English]( 1,117.37 Kb )
- Hn Enrollment Packet Spanish.pdfHealth Network Enrollment Packet [Spanish]( 1,171.52 Kb )
- Hn Enrollment Packet Creole.pdfHealth Network Enrollment Packet [Creole]( 2,649.30 Kb )
- Hn Enrollment Packet Portuguese.pdfHealth Network Enrollment Packet [Portuguese]( 1,602.72 Kb )
Pesticide Exposure Reporting Form
A useful generic form to document pesticide exposures in farmworkers. For use in states and counties that do not have specific reporting forms.
Files
- Pesticide Evaluation Form.doc( 624.64 Kb )
National Pesticide Practice Skills Guidelines for Medical & Nursing Practice
Outlines the knowledge and skills that health professionals need to have about pesticides. This document is part of a national initiative aimed at ensuring that pesticides issues become integral elements of education and practice of primary care providers. English and Spanish
Files
- Neetf Pesticide Practice Guidelines.pdf( 21,370.73 Kb )
- Neetf Habilidades Para La Practica Pesticidas.pdf( 6,843.29 Kb )
Recruitment and Retention Self Assessment Tool
The Health Center Recruitment and Retention Effectiveness Review (RRER) instrument is designed to support on-going recruitment and retention of qualified clinical staff at health centers.
Health Literacy Universal Precautions Toolkit
The Agency for Healthcare Research and Quality (AHRQ) commissioned The University of North Carolina at Chapel Hill to develop and test this Health Literacy Universal Precautions Toolkit. It provides step-by-step guidance and tools for assessing your practice and making changes so you connect with patients of all literacy levels.
Files
- Healthliteracytoolkit.pdf( 39,739.68 Kb )
