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Algorithm for identification of migrant and seasonal farmworkers
This algorithm in English and Spanish can be used by health center program grantees as part of the intake process to identify farmworker patients. It incorporates HRSA’s 2012 revised definition of migrant and seasonal farmworkers.
Files
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- Algorithm for Identifying MSAW ( 438 Kb )
HRCH Pregnancy Pamphlet- Spanish
Usted y su bebe pregnancy pamplet.
Files
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- Ud. y su bebe-HRCH pregnancy pamphlet ( 166 Kb )
Identifying Migratory and Seasonal Agricultural Workers in Your Clinic
MCN recommends screening for migrant status at every clinic visit. This bilingual tool is designed to help clinic staff identify migrant and seasonal farmworkers.
Clinic staff should verbally question client at every visit and determine status (migrant farmworker, seasonal farmworker, aged/disabled farmworker, not a farmworker) based on client’s responses.
Incident Report Form
Two-page form used to report accidents or incidents in the clinic.
Files
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- IncidentReportform ( 32 Kb )
Sample Service Contract
THIS AGREEEMENT made effective the date of signing below, between ****** COMMUNITY HEALTH CENTER, INC., hereinafter referred to as “***,” and *****, hereinafter referred to as “****.”........
Files
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- Tallgrass+Agreement ( 55 Kb )
Verbal/Telephone Orders and Test Results
To define a process for accepting verbal or telephone orders and test results directly from physicians, physician extenders (Physician Assistants, Nurse Midwives, Nurse Practitioners), labs and/or testing services.
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