Chart Tools

Chart Tools


The Florida/Caribbean AIDS Education and Training Center is pleased to present a number of clinical charting forms to assist you in your practice. The Notation A,B,C represent variations of the same type form.
• AETC - Best Forms | Word - 6/16/2009

Primary Care Workgroup Tools


• Chronic Pain | PDF - 2/2008
• Depression | PDF - 2/2008
• Dyslipidemia | PDF - 2/2008
• Substance Abuse | PDF - 2/2008
• Adherence Assessment A | Word - 5/06/2004
• Adherence Assessment A - En Español | Word - 5/06/2004
• Adherence Assessment B | Word - 5/06/2004
• Adherence Assessment B - En Español | Word - 5/06/2004
• Adherence Assessment C | Word - 5/06/2004
• Adherence Assessment C - En Español | Word - 5/06/2004
• Admission Intake History A | Word - 5/06/2004
• Admission Intake History B | Word - 5/06/2004
• Adult Physical Evaluation | PDF   Word - 12/30/2009
• Adult Health History (Subjective Data Base) | PDF   Word - 12/30/2009
• Annual Education Sheets | PDF - 12/30/2009
• Antiretroviral Use History | Word - 6/05/2007
• Antiretroviral Use History - Sample | Word - 6/05/2007
• Authorization to Use or Disclose Protected Health Information | Word - 5/31/2007
• Chart Abstraction Tool - HIV Obstetrics | Word - 7/01/2004
• Clinic Visit H&P Flow Sheet SOAP | Word - 5/06/2004
• Clinic Visit H&P Flow Sheet Detailed | Word - 5/06/2004
• Comprehensive Flow Sheet | Word - 5/06/2004
• Consults, Diagnostic Test | Word - 5/06/2004
• Medical Protocol Consisent with the Most Current Clinical Care Protocols | Word - 1/19/2007
• Dental Health Flow Sheet | Word - 5/06/2004
• HIV Baseline Labs Vaccine Flow Sheet A | Word - 5/06/2004
• HIV Baseline Labs Vaccine Flow Sheet B | Word - 5/06/2004
• Lab Flow Sheet A | Word - 5/06/2004
• Lab Flow Sheet B | Word - 5/06/2004
• Medical History Form that Includes HIV Risk Assessment | Word - 2/03/2004
• Medication List | Word - 10/1999
• Narcotic Prescription Information for Clients | Word - 10/16/2006
• Order/Referral Sheet | Word - 5/06/2004
• Patient/Family/SO Education Flow Sheet | Word - 5/04/2007
• St. Joseph's Hospital Tampa Care Flow Sheet | Word - 11/30/2007
• Prenatal Chart Form that Includes HIV Testing | Word - 9/2008
• Problem List | Word - 10/1999
• Progress Note | PDF   Word - 10/31/2008
• Sample Hospital Protocol for HIV Exposed Newborn | Word - 9/2008
• Substance Use Assessment | Word - 5/06/2004
• Vital Signs Flow Sheet | Word - 5/06/2004
• Follow-Up Office Visit | Word - 3/23/2004
• HIV Flow Sheet | Word
• X-Ray Flow Sheet | Word
• Immunization Initial Screening Flow Sheet | Word
• Selected Lab Flow Sheet | Word
• Pharmacy Medications Consultation Progress Note| Word
• Women's Health Examination/PAP Test | Word
We are grateful to the following individuals and agencies for allowing the AETC to use and adapt their documents:
  • Collier County H.D.
  • Hendry Glades County H.D.
  • Hillsborough County H.D.
  • North Broward Hospital District
  • St. Joseph's Hospital Tampa Care Clinic
  • USF College of Medicine
CONTACT US
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813.974.4430
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813.974.8451
TOLL FREE:  
866.FLC.AETC
352 2382