Tools for Homeless Service Providers

  • Medical Facility Transportation Log
    (2011, San Francisco Department of Public Health)
    TOOLS AND TEMPLATES
    Shelter staff can use this form to document client transportation to medical facilities, if necessary. Also includes a shelter bed number field if a contact investigation is needed.
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  • Sick Client Monitoring Form
    (2011, San Francisco Department of Public Health)
    TOOLS AND TEMPLATES
    This form can be used by shelter staff to record symptoms of infectious conditions such as cough, fever, sore throat, etc in their clients. The form includes fields for date, bed numbers, symptoms, and a check box to ensure that medical follow-up has taken place.
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  • Cough Alert Referral Form
    (2009, Santa Barbara County Public Health Department)
    TOOLS AND TEMPLATES
    This form can be used by shelter staff to refer clients to public health department disease control.
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  • TB Screening Form
    (2009, Santa Barbara County Public Health Department)
    TOOLS AND TEMPLATES
    This form can be used by shelter staff to record symptoms of infectious conditions such as cough, fever, sore throat, etc in their clients. The form includes fields for date, bed numbers, symptoms, and a check box to ensure that medical follow-up has taken place.
    View