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Finalreportingletter.doc (General Practitioners and Specialists*)

 

Letter 1 Letter of Introduction (Word 2000)
Letter 2 Letter confirming eligibility for assessment(Word 2000)
Letter 3 Patient Questionnaire Cover Letter (Word 2000)
Letter 4* Referring Physician Questionnaire Cover Letter (Word 2000)
Letter 5 Confirmation of assessment date (Word 2000)
Letter 6 Final Reporting Letter (Word 2000)
Q - 1 Patient Questionnaire
Q - 1S* Specialist Patient Questionnaire
Q - 2S* Referring Physician Questionnaire
Q - 2 Physician Pre-Visit Questionnaire
Q - 3 Physician Post Assessment Questionnaire
Q - 3R Physician Post Assessment Questionnaire Feedback Report
Q - 4 Physicial Facilities & Practice Organization Questionnaire
Q - 5 Referred Specialist Questionnaire
R - 2 (Full) Full Medical Office Assessment Form/Outline
R-2S* Addendum to the Full Medical Office Assessment Form:
  1. Specialty of Dermatology
  2. Specialty of General Surgery
  3. Specialty of Internal Medicine - Gastroenterology
  4. Specialty of Internal Medicine - General
  5. Specialty of Obstetrics & Gynecology
  6. Specialty of Ophthalmology
  7. Specialty of Pediatrics
  8. Specialty of Psychiatry
R - 4 Final Report (Word 2000)
--- Resource List
--- Chart Review Guidelines
  1. Asthma (Word 2000)
  2. Adult Asthma Management Flow Sheet (Word 2000)
  3. Pediatric Asthma Management Flow Sheet (Word 2000)
  4. Cardiovascular Risk Factor Management (Word 2000)
  5. Depression (Word 2000)
  6. Diabetes (Word 2000)
  7. Diabetes Flow Sheet (Word 2000)
  8. Hypertension (Word 2000)
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