The Resource Group

HOUSTON
REGIONAL
HIV/AIDS
RESOURCE
GROUP, INC.

500 Lovett Blvd.
Suite 100
Houston
Texas
77006

713 526-1016
FAX 713 526-2369

 


Health Case Management Documents
funded by Ryan White Part D and Ryan White Part D Youth


Click the titles below to open or download individual PDFs or documents

(right click and "Save Target as" to download)

01 Consent for Services

Word Doc

PDF


02 ARIES Consent to share Information

03 ARIES Intake Form

04 Client Acuity Assessment Scoring 090303

05 HCM Brief Client Acuity Assessment 090901

Word Doc

PDF

06 HCM Complete Client Acuity Assessment 090303

Word Doc

PDF

07 Interim Client Acuity Scoring 090901

Word Doc

PDF

08 HCM Interim Client Acuity Assessment 090901

Word Doc

PDF

09 Individualized Client Care Plan 090901

Word Doc

PDF

10 Care Plan Example

Word Doc

PDF

11 HCM Client Education Tracking Form

Word Doc

PDF

12 HCM Client Acuity Reassessment 090303

Word Doc

PDF

13 HCM Closure Summary 090129

Word Doc

PDF

14 Request for Waiver Form Rev 090129

Word Doc

PDF

15 MT Waiver Form Rev 090129


PDF

16 Adherence Screen


Excel Sheet

17 SAMISS Tool

Word Doc

PDF

18 Harm Reduction Prevention Assessment

Word Doc

PDF

HCM UM Section 1 Policy and Procedures 091006


PDF


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