Notifications
Clear all
Topic starter
A new Patient Instructions form designed to capture elements for MU, PCMH, and UDS.
Designed and built for an FQHC this form allows one-click printing of Spanish and English Clinical Visit Summaries. Can be used for PCMH for self management goal setting and tracking. Includes important UDS data capture for counseling and referral for weight management of children and adults. Includes the use of flags for internal referrals. Also provides nicotine replacement prescriptions based on standing orders/protocols.
Self Management Goals based on
AADE Diabetes Self Care Behaviours
Healthy eating
Being active
Monitoring
Taking medication
Problem solving
Healthy coping
Reducing risks
Kit includes:
ccc text file required to replace current Patient Instructions CCC with this PI form. Required custom obsterms,
SMG form for Health Coaches,
PDF explaining form functionality.
Posted : June 24, 2013 4:42 am
cjtorontow-- What version of CCC-Pt Instructions do you have for this form?
Posted : September 18, 2013 7:52 am
Topic starter
Rather than try to adapt the CCC form I built a new form from scratch. I changed the ccc text file so the "Plan/Instructions" button point to the new form.
Posted : September 18, 2013 10:26 am
C J,
First of all thank you so much for posting these forms. You are a lifesaver. Our Diabetic Educator thanks you.
We are having one small issue with the form. The Radio buttons under Increase Physical Activity do not work. As well as that category in Action and Plan. When we imported the form, we did not get any errors.
We can not figure out why it is not working. Any ideas?
We appreciate any help you can give us.
Posted : August 22, 2014 4:02 am
Topic starter
kkopp said:
C J,
First of all thank you so much for posting these forms. You are a lifesaver. Our Diabetic Educator thanks you.
We are having one small issue with the form. The Radio buttons under Increase Physical Activity do not work. As well as that category in Action and Plan. When we imported the form, we did not get any errors.
We can not figure out why it is not working. Any ideas?
We appreciate any help you can give us.
I think that was a bug that was fixed and found since I loaded the forms let me look again. It usually has to do with Spanish language the accented i is easy to miss but will always cause issues. Can you give me your e-mail and I will send the correct version to you directly.
Posted : August 25, 2014 4:22 am
Posted : August 25, 2014 4:24 am
Topic starter
kkopp said:
Thank you so much. This form is amazing by the way!!
Thanks. I realized the issue...
The above link is incorrect.
I am going to send you the latest version of the form just for fun.
C J Torontow said:
kkopp said:
C J,
First of all thank you so much for posting these forms. You are a lifesaver. Our Diabetic Educator thanks you.
We are having one small issue with the form. The Radio buttons under Increase Physical Activity do not work. As well as that category in Action and Plan. When we imported the form, we did not get any errors.
We can not figure out why it is not working. Any ideas?
We appreciate any help you can give us.
I think that was a bug that was fixed and found since I loaded the forms let me look again. It usually has to do with Spanish language the accented i is easy to miss but will always cause issues. Can you give me your e-mail and I will send the correct version to you directly.
Posted : August 25, 2014 5:40 am
Posted : October 14, 2016 7:27 am
