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Form or template

Testing and Resources Package

Organization: Northern Health HIV HCV Specialized Support Team
Publication date: 2017
Format: PDF
Resource Type: Form or template

Activity List & Program Feedback

Organization: Peer-to-Peer Program, Population & Public Health Services – Regina, Saskatchewan Health Authority
Publication date: 2017
Format: PDF
Resource Type: Form or template

This is a current resource that is completed during the mentor application process. Please contact the contributor at (306)766-6857 to request permission to use.

Peer Mentor Exit Interview

Organization: Peer-to-Peer Program, Population & Public Health Services – Regina, Saskatchewan Health Authority
Publication date: 2017
Format: PDF
Resource Type: Form or template

This is a current resource.This form is to be completed by the mentor upon exiting the program.Please contact the contributor at (306)766-6857 to request permission to use.

PWA Risk Management Planning Annual Template

Organization: Toronto People With AIDS Foundation (PWA)
Publication date: 2017
Format: PDF
Resource Type: Form or template

Operational planning template for reviewing both opportunities and risk as part of annual planning practices.

Peer Mentor Agreement

Organization: Peer-to-Peer Program, Population & Public Health Services – Regina, Saskatchewan Health Authority
Publication date: 2017
Format: PDF
Resource Type: Form or template

This is a current resource.The form is completed during the mentor application process. Please contact the contributor at (306)766-6857 to request permission to use.

Peer Mentor Description

Organization: Peer-to-Peer Program, Population & Public Health Services – Regina, Saskatchewan Health Authority
Publication date: 2017
Format: PDF
Resource Type: Form or template

This is a current resource.This form is to describe the purpose of the program and qualifications of the mentor. It is to be reviewed with the Peer Program Coordinator and mentor during the application process.Please contact the contributor at (306)766-6857 to request...

Peer Mentor Referral

Organization: Peer-to-Peer Program, Population & Public Health Services – Regina, Saskatchewan Health Authority
Publication date: 2017
Format: PDF
Resource Type: Form or template

This is a current resource.This form is completed when a mentor is referred to the program.Please contact the contributor at (306)766-6857 to request permission to use.

Peer Contact – Phone Calls

Organization: Peer-to-Peer Program, Population & Public Health Services – Regina, Saskatchewan Health Authority
Publication date: 2017
Format: PDF
Resource Type: Form or template

This is a current resource.Peer mentors will document monthly phone calls on this form. Phone calls over 30 minutes must be recorded separately on the Peer Program Contact Form.Please contact the contributor at (306)766-6857 to request permission to use.

Goal Setting

Organization: Peer-to-Peer Program, Population & Public Health Services – Regina, Saskatchewan Health Authority
Publication date: 2017
Format: PDF
Resource Type: Form or template

This is a current resource.The form is completed with the mentor and mentee. It is reviewed by the Peer Coordinator upon completion. Please contact the contributor at (306)766-6857 to request permission to use.

Peer Program Contact Form

Organization: Peer-to-Peer Program, Population & Public Health Services – Regina, Saskatchewan Health Authority
Publication date: 2017
Format: PDF
Resource Type: Form or template

This is a current resource.Documentation/notes are completed on this form by mentors after mentee contact.Please contact the contributor at (306)766-6857 to request permission to use.
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