The following forms are in Microsoft Word format.

Inpatient

  1. PROTECT Pocket Card
  2. PROTECT Preprinted Admission Order Sheet
  3. PROTECT Medication Algorithm
  4. PROTECT Patient Tracking Form (Inpatient)
  5. PROTECT Interdisciplinary Sheet
  6. PROTECT Patient Information Sheets
  7. PROTECT Patient Information Sheets (Spanish)
  8. PROTECT Primary Care Physician Letter
  9. PROTECT Discharge Summary Template


Outpatient

  1. PROTECT Self Monitor Log
  2. PROTECT Patient Report Card
  3. PROTECT Patient Follow up Calendar Card
  4. PROTECT Patient 6-week/3-month letters
  5. PROTECT Medication Instruction Sheet
  6. PROTECT Patient Tracking form (Outpatient)

Risk Assessment Tools

  1. Risk Assessment Calculator for Estimating 10-Year Risk of Developing Hard Coronary Artery Disease
  2. Body Mass Index Calculator 
  3. Risk Assessment Tool for Chronic Kidney Disease

Program Performance Update

  1. 2002 progress report
  2. 2003 progress report

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