

The following forms are in Microsoft Word format.
Inpatient
- PROTECT Pocket Card
- PROTECT Preprinted Admission Order Sheet
- PROTECT Medication Algorithm
- PROTECT Patient Tracking Form (Inpatient)
- PROTECT Interdisciplinary Sheet
- PROTECT Patient Information Sheets
- PROTECT Patient Information Sheets (Spanish)
- PROTECT Primary Care Physician Letter
- PROTECT Discharge Summary Template
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Outpatient
- PROTECT Self Monitor Log
- PROTECT Patient Report Card
- PROTECT Patient Follow up Calendar Card
- PROTECT Patient 6-week/3-month letters
- PROTECT Medication Instruction Sheet
- PROTECT Patient Tracking form (Outpatient)
Risk Assessment Tools
- Risk Assessment Calculator for Estimating 10-Year Risk of Developing Hard Coronary Artery Disease
- Body Mass Index Calculator
- Risk Assessment Tool for Chronic Kidney Disease
Program Performance Update
- 2002 progress report
- 2003 progress report
Web design and graphics by Sharai Designs
© Copyright 2002. UCLA Stroke/Vascular Neurology program. All rights reserved.