AGENCY: Weber-Morgan District Health Department (Utah)

SERIES: 24555
TITLE: Health care access case management records
DATES: 1990-
ARRANGEMENT: Alphabetical by name

DESCRIPTION: These forms document health interviews of heads of households. They are used to assess family needs and to determine their resources need. The forms include demographic information (name of household name, address, case number, location, medical insurance/medicaid number, primary care physician, language preferred, ethnicity, education level, occupation); current medical information of each family member; a listing of any serious illnesses, injuries, hospitalizations (name, condition, and year); the head of household responses on family's access to health care resources; indication of family's special needs, indication of any at-risk conditions; listing of any planned referrals; and a narrative explaining of action guiding the family to appropriate health care resources.

RETENTION

Retain for 4 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series is proposed and has not yet been approved.

FORMAT MANAGEMENT

Paper: Retain in Office for 4 years and then destroy.

APPRAISAL

PRIMARY DESIGNATION

Private

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