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Application for Clinical Privileges Physician Specialty: Family Medicine

Application for Clinical Privileges
Physician
Specialty: Family Medicine

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Appointment Process Flow Chart

This document outlines the process a health center goes through to appoint a new clinician to staff.

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Appointment, Credentialing, & Privileging Guidelines

Comprehensive Health Center guidelines for privileging, credentialing and appointments.
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Assessment of Clinical Assistant Competencies

A 3-page assessment of clinical assistant competencies.

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Asthma Action plan

Asthma Action Plan for Adults and Children. An asthma action plan completion/instructions form is also included.

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Asthma Assessment Form

A sample asthma assessment form.
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Asthma Chart Audit

A sample asthma chart audit form.
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Asthma Management Plan

Two page summary for patients with asthma. Describes the disease and has a management plan for the provider and patient to fill out.
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Asthma Patient Questionnaire to Identify Barriers to Self-Management

A one-page patient questionnaire to help identify barriers to effective self-management.
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Asthma Patient Self Management Handout

A one-page patient education handout that simply discusses self-management goal setting.
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