AGENCY: Department of Health. Community Health Service

SERIES: 17088
TITLE: Alive and well program case files
DATES: undated.
ARRANGEMENT: None

DESCRIPTION: This is an education program run by local health departments to encourage people to live healthier life-styles by preparing a health risk appraisal and fitness profile. The files include Informed Consent and Release, Physical Activity Readiness Questionnaire, Health Risk Appraisal, Nutrient Density Diet Analysis, and Screening Answer Sheet. The information includes participant's name, sex, race, age, height, weight, tobacco consumption, alcohol consumption, drugs/medication consumption, seat belt use, physical activity level, parents' medical history, medical history, marital status, educaiton level, employment status, occupation, telephone number, food consumption, and address.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 03/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years and then destroy.

APPRAISAL

After the client receives a health appraisal and fitness report, the client is expected to return in a year for a follow-up visit. Once this has been done, an additional year retention is recommended in case the client or the client's physician has any questions. As the department makes no diagnosis or prescribes no treatments, malpractice or other legal issues should not apply. Therefore, once the administrative value of the record ends, the file may be destroyed.

PRIMARY DESIGNATION

Private

---