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  • Home
  • Introduction
      • Nature of the problem
      • Background
      • Terms and Abbreviations
      • Venice Family Clinic Street Medicine Model Description
      • Street Medicine, Social Medicine and Social Care Defined
      • Tri-morbidity
      • Program Outcomes
  • Social Medicine for the Unsheltered
      • Venice Family Clinic Approach
          • Mission and Core Values
          • Guiding Principles
          • Meeting Patients Where They Are
          • Managing Risk
          • Social Determinants of Health
          • Transportation
          • Treatment Decision Factors for Clinicians
          • Patient Location and Flow: Where to Treat and When?
          • Coordinated Care Management
          • Role of Partnerships and Collaboration
          • The Multidisciplinary Team
          • Shared Decision-Making
      • Assertive Engagement
          • Relationship Development
          • Effective Communication
          • Body Language
          • Stages of Engagement Framework
          • The Power of Human Interaction
          • The Role of Intuition
      • Best Practices in Social Care
          • Motivational Interviewing
          • Strengths-Based Approach
          • Trauma Informed Care
          • Harm Reduction
          • Housing First
          • Housing Options
          • Diversion and Family Reunification
      • Going Into the Field
          • Safety Guidelines
          • What Goes in the Backpack?
          • What to wear?
          • History and Physical Exam
          • Street Triage Tool
          • Community/Hospital Relationship
          • Health Insurance
      • Clinician Self-Care
          • Clinician Self-Care
          • Self-Care Tips
          • Burnout
          • Compassion Fatigue
          • Secondary and Vicarious Trauma
  • Learning Modules
    • Case Study
    • Van Discussion
    • Skills Sign-Off
  • Resources
    • Table of Contents
    • Forms
    • References
    • Download Curriculum
  • Acknowledgements
  • Survey
      • Residents & Students Start Survey Here
  • Search
      • Search the entire site.

  • Home
  • Introduction
    • Nature of the problem
    • Background
    • Terms and Abbreviations
    • Street Medicine, Social Medicine and Social Care Defined
    • Venice Family Clinic Street Medicine Model Description
    • Tri-morbidity
    • Program Outcomes
  • Social Medicine for the Unsheltered
    • Venice Family Clinic Approach
      • Mission and Core Values
      • Guiding Principles
      • Meeting Patients Where They Are
      • Managing Risk
      • Social Determinants of Health
      • Transportation
      • Treatment Decision Factors for Clinicians
      • Patient Location and Flow: Where to Treat and When?
      • Role of Partnerships and Collaboration
      • The Multidisciplinary Team
      • Shared Decision-Making
    • Assertive Engagement
      • Relationship Development
      • Effective Communication
      • Body Language
      • Stages of Engagement Framework
      • The Power of Human Interaction
      • The Role of Intuition
    • Best Practices in Social Care
      • Motivational Interviewing
      • Strengths-Based Approach
      • Trauma Informed Care
      • Harm Reduction
      • Housing First
      • Housing Options
      • Diversion and Family Reunification
    • Going Into the Field
      • Safety Guidelines
      • What Goes in the Backpack?
      • What to wear?
      • History and Physical Exam
      • Street Triage Tool
      • Community/Hospital Relationship
      • Health Insurance
    • Clinician Self-Care
      • Clinician Self-Care
      • Self-Care Tips
      • Burnout
      • Compassion Fatigue
      • Secondary and Vicarious Trauma
    • Learning Modules
      • Case Study
      • Van Discussion
      • Skills Sign-Off
    • Resources
      • Table of Contents
      • Forms
      • References
      • Download Curriculum
  • Acknowledgements
  • Survey
  • Search

Forms

  1. Patient Registration and Consent
  2. HIPAA Consent and Compliance
  3. Homeless Clinic Progress Note
  4. Metro TAP card application
  5. IHSS application
  6. Physician’s Report for Community Care Facilities
  7. Coordinated Entry System (includes Vulnerability Index – Service Prioritization Decision Assistance Tool aka VI-SPDAT)
  8. Street medicine backpack supplies
  9. Street medicine backpack medications
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    References

    Mailing Address
    Venice Family Clinic
    604 Rose Avenue
    Venice, CA 90291

    General
    310 392 8630
    Appointments
    310 392 8636

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