This page includes various forms and documents for subrecipients, including visit templates, clinical forms, client handouts, administrative forms, and fiscal forms.
Administrative forms
- Registration form templates, Patient bill of rights, closing and opening clinic request forms, sample client satisfaction surveys, and more.
Clinical forms
- Procedural consent forms, progress notes templates, and referral templates.
Cost Setting Project
- Helpful information from the 2021 cost-setting project and the cost analysis worksheet.
Family Planning Program Data
- Annual CDPHE Family Planning Program data points for Colorado.
Fiscal Forms
- Income code examples, approved sliding scale of discounts, and example of a super bill.
FPAR 2.0
- Updates to the Title X Family Planning Annual Report (FPAR)and third-party data specifications for FPAR 2.0.
Information and Education Materials
- Resources and materials for subrecipient I&E committees.
Sample Quarterly Report
- A sample quarterly report from Fiscal Year 2021-22 is provided for reference. The questions may change from year to year.
Telehealth Resources
- Resources compiled during the COVID-19 pandemic.
Your Sexual Health Booklet
- The Your Sexual Health Booklet is a resource for patients and community outreach activities.