CD_Intake_Q_sheet_-_current_june_2010_STAFF

NameCD_Intake_Q_sheet_-_current_june_2010_STAFF
OrganisationNumurkah District Health Service
Postal AddresssPO Box 128 Numurkah
Phone Number03 5862 0560
Emailjefferyv@humehealth.org.au
Open to contact1
Contact PersonVivienne Jeffery
Position TitleProject Officer EIiCD
Author / Authoring OrgnisationNumurkah District Health Service
Brief explanationFor use as a screening tool for identification of chronic condition/s, additional needs and underlying issues
Target AudienceFor staff use as a screeing tool with all clients accessing community based health services
How is this
document used
The employee undertaking initial needs identification instigates this question sheet to determine presence of chronic conditions. It is an adjunct to pre exisitng information that may/may not be present in the original referral.
Date last revised01/11/2010
Diseases COPD, Asthma, Diabetes, Depression / anxiety, Chronic Heart Disease, Kidney Disease, Co-morbid, CVD, Musculoskeletal,
FilenameCD_Intake_Q_sheet_-_current_june_2010_STAFF.pdf
Filesize301.96 kB
Filetypepdf (Mime Type: application/pdf)
Date added 05/09/2011 11:48
Hits448 Hits
Last updated on 05/09/2011 12:01
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