BiW4Teens Clinic Resource Pack

Included in the Healthcare Clinic Resource Pack are all of the following program materials and training videos:

A] Clinic Materials Included:

1. BiW4Teens Program Implementation Checklist
2. BiW4Teens Patient Referral Process
3. BIW Program Billing Codes – lists ICD10 and procedure codes for clinic visits and phone consultation
4. BiW4Teens EMR Template
5. BiW4Teens Clinic Brochure with Prescription for a Healthy Weight
6. BiW4Teens Clinic Brochure
7. Discount coupon for families your clinic refers to the online BiW4Teens Program.
8. “Make Your Next BiW4Teens Appointment” post card template
9. Forms used during clinic visits:
10. BiW Health Habit Assessment Form
11. BiW4Teens Detailed Documentation Forms Packet which includes:
    • Initial Contact
    • Pre-Visit Chart Review
    • Initial Visit
    • BiW Health Questionnaire Form
    • Implementation Phase – Clinic Visit
    • Maintenance Phase – Clinic Visit
12. BiW4Teens Patient Progress Log (Short) – includes list of all 27 program sessions and list of healthy habits
13. BiW4Teens Patient Progress Log (Long) – includes list of all 27 program sessions and list of healthy habits plus learning objectives for each session
14. HCP-Parent-Teen Program Commitment Contract
15. BiW4Teens Multi Patient Log

B] Materials NOT Included:

1. Online BiW4Teens Program which includes the downloadable PDF version of the BiW4Teens Workbook, all 27 BiW4Teens interactive health coaching videos, and a program completion gift packet.

C] Staff Training Resources Included:

1. Four-part staff orientation program via video presentations
2. Using BiW4Teens documentation forms
3. Billing for sessions
4. BiW4Teens Program Curriculum
5. BiW4Teens Program Outline
6. BiW4Teens Habit Explanation Cue Card
7. BIW4Teens Program Introduction cue card

D]  Clinics receive ongoing program support from Positive Patterns for Life company.