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Resources




Record of Grantee Meetings
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Resources

Assessment Materials, Forms & Instruments

Summary

Program Intake Form (PDF)

This three-page form is designed to gather initial information about people and their health behaviors. It can be completed by a patient alone or with a health professional.

Author site: Galveston County Health District I 2004

Related Links

  • For other tools related to general program administration: Click here
  • For other tools on multiple self management behaviors: Click here
  • For other tools on program management & implementation: Click here
  • For more assessment tools: Go back

The Diabetes Initiative was a national program of the Robert Wood Johnson Foundation from 2002 to 2009.
Archived in 2009, this site is a repository for information and resources gathered over the course of the Initiative.
© 2002-2009 The Diabetes Initiative, a national program of the Robert Wood Johnson Foundation®
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