Pacoima Health Center                          Family Medicine Department                    “Making the Most Out of Your ...
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Team Up for Health (Making the Most of Your Visit): Northeast Valley Health Coorporation

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Team Up for Health (Making the Most of Your Visit): Northeast Valley Health Coorporation

  1. 1. Pacoima Health Center Family Medicine Department “Making the Most Out of Your Visit” Today’s Visit: _____ / ______/ ______1. “I am managing my Health…...”: "Excellent” “Good” “Not Good” “Not Sure”2. “What do I want to ASK my Provider today ?” “Aprovechar su Visita a lo Maximo” Fecha de Hoy: _____ / ______/ ______1. “Manejo mi Salud ………” “Excelente” “Bien” “No muy bien” “No estoy segura(o)”2. “¿Que le voy a PREGUNTAR hoy a mi proveedor?” ****DO NOT FILE IN CHART—Give to DM Coord******

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