Staying Healthy Assessment Forms
Download instructions on how to use the "Staying Healthy" assessment tool.
Click here to read more about the Staying Healthy Assessment Forms prior to downloading.
Click on the appropriate age group and language to download the Staying Healthy Assessment Forms ("Staying Healthy") Assessment Tools :
| English | Spanish | ||
| Chinese | Lao | ||
| Hmong | Russian | ||
| Vietnamese |
Educational materials called the "Staying Healthy" California Tip Sheets are also available. The tip sheets provide helpful patient education information on the topics covered in the Staying Healthy Assessment Forms. The tip sheets are available in all 10 threshold languages for Los Angeles County.
Click on the appropriate age group and language to download the "Staying Healthy" Tip Sheets :
| English | Armenian | ||
| Spanish | Chinese | ||
| Farsi | Korean | ||
| Khmer | Russian | ||
| Tagalog | Vietnamese |
For the "Staying Healthy" Assessment Counseling and Resource Guide, visit: www.dhs.ca.gov/ps/ocpm/html/stayinghealthy.htm
The accompanying "Staying Healthy" California Tip Sheets have been created as a collaborative effort of Medi-Cal managed care health plans with assistance from the California Department of Health Services. Questions, feedback and suggestions for improvement of support materials for the "Staying Healthy" Assessment are encouraged. For this purpose, please contact the health education department of your contracted health plans. This is not an official California Department of Health Services publication.
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