Navigation Forms and Templates

The Program Management Tools include the following resources.

• Hep C Program Management Dashboard
• Program Management Scope of Services –Peer and SSPs
• Job Descriptions, Peer and Patient Navigators
• Check Hep C Start-Up Training
• Community Learning Practice Meeting Planning
• Navigator Team Meeting Checklist
• Note Taking Template
• Case Study Sign-Up and Reminder
• Program Implementation Report Template—Clinical Setting and SEP-CBO
• Patient Registry Report Template
• Care Cascade Definitions
• Hep C Career Pathways Survey
• Peer Exit Interview