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For Local Health Departments
Local health departments work to improve the health of people and communities in North Carolina. Support resources that the division provides to health departments include generalized nursing consultation, administrative consultation, the Public Health Training and Information Network (PHTIN), and accreditation.
Accreditation
Finance 101 Workshops
Finance Training Workshop Files (.zip; 3.5 MB) - If you do not already have a zip utility installed on your machine, you will need to download and install one to view these files. If installation is necessary, it is recommended that you use a free evaluation version of WinZip
. You can download and install the evaluation version for free from http://www.winzip.com/downwz.htm
. Click the "Download WinZip Now" button and follow the steps to install and use the evaluation version.
Workshop Participants: Please contact your Administrative Consultant for access to the .zip file.
Dianne Edwards 828-678-9392
Penny Lewis 910-863-3846
Ann Moore 252-633-6478
Judy Simmons 336-625-4963
Lillie Worsley 252-824-5243
Public Health Training and Information Network
Aid to Counties
Contacts
Program Forms and Codes
Dispensing of Drugs by Public Health Nurses
Records Retention
HIS
HIPAA
For Local Health Department HIPAA questions please call the DPH Local Health Department HIPAA Hotline at 919-715-3358.
Purchase of Medical Care
Problem Oriented Health Record (POHR)
- DHHS 2734: Referral / Follow Up (PDF, 22 KB)
- DHHS 2800: Personal Data Sheet (PDF, 46 KB)
- DHHS 2801: Problem Need List (PDF, 40 KB)
- DHHS 2802: Medication Flow Sheet (PDF, 27 KB)
- DHHS 2803: Notes (PDF, 22 KB)
- DHHS 2804: Flow Sheet (PDF, 27 KB)
- DHHS 2808: Sexually Transmitted Diseases Clinical Assessment Form
- DHHS 2809: Children's Special Health Flow Sheet (PDF, 41 KB)
- DHHS 2811: Child Basic History - Birth to 11 Years (PDF, 39 KB)
- DHHS 2812: Child Health Flow Sheet (PDF, 46 KB)
- DHHS 2814: Family Planning and Reproductive Health Female Flow Sheet (PDF, 46 KB)
- DHHS 2814: Family Planning and Reproductive Health Male Flow Sheet (PDF, 50 KB)
- DHHS 2814: Instructions (PDF, 18 KB)
- DHHS 2816: Adolescent Basic History (PDF, 35 KB)
- DHHS 2817: Immunization Skin Test Flow Sheet (PDF, 44 KB)
- DHHS 3096: Acknowledgement of Receipt of Notice of Privacy Practices (English-Spanish) (PDF, 23 KB)
- DHHS 3993: Patient Education (PDF, 29 KB)
- DHHS 4056: Patient Authorization (English-Spanish) (PDF, 20 KB)
- DHHS 4059: Patient Visit Record (PDF, 18 KB) - Updated 11/19/09
- DHHS 4060-E: Patient Self History (English) (PDF, 26 KB)
- DHHS 4060-S: Patient Self History (Spanish) (PDF, 34 KB)
Program Area Information
Statistical Analysis Support