HealthCheck Programs

Data, Manuals and Forms

The HealthCheck Programs work with numerous healthcare providers throughout Arizona to provide screening, diagnostic and referral services. The resources below are provided for current HealthCheck providers or for providers who are interested in offering HealthCheck services.

Manuals and Forms

Program Manuals/Packets

• National Breast and Cervical Cancer Early Detection Program Manual (Books 1-4)
  • Book 1: Introduction to the Manual, Acroynm List
  • Book 2: Policies and Procedures, Program Management, Partnerships
  • Book 3: Screening and Diagnostic Services, Professional Development, Public Education and Targeted Outreach
  • Book 4: Data Management, Quality Improvement and Evaluation
• WWHP Manual (currently under revision)
• Fit at Fifty HealthCheck Program (FFHP) Manual
• Colorectal Cancer Control Program (CRCCP) Policies and Procedures
• Breast and Cervical Cancer Treatment Program Provider Packet

Forms

• WWHP-FFHP Order Form
• WWHP-FFHP Demographic and Eligibility Form
• WWHP-FFHP Refusal of Diagnostic or Treatment Services
• WWHP-FFHP Close Out Form
• FFHP Consent to Participate - English
• FFHP Consent to Participate - Spanish
• FFHP Consent to Release Info- English
• FFHP Consent to Release Info- Spanish
• FFHP Medical Eligibility Form
• FFHP Medical Complications Reporting Form
• FFHP Final Diagnostics
• WWHP Consent to Participate - English
• WWHP Consent to Release Info - English
• WWHP Consent to Participate - Spanish
• WWHP Consent to Release Info - Spanish
• WWHP Breast Cancer Diagnosis and Treatment
• WWHP Cervical Cancer Diagnosis and Treatment
• WWHP Breast/Cervical Screening

Quality Assurance

• WWHP Core Quality Indicator Report, April 2012
• FFHP Core Quality Indicator Report, March 2012
• WWHP Quality Report FY2010
• WWHP Volume Data 2009-2012
• Arizona Provider Facility Rates 2011

Outreach and Patient Education

Factsheets

• Breast Cancer Factsheet – 2012
• Cervical Cancer Factsheet – 2012
• Colorectal Cancer Factsheet – 2012
• Breast and Cervical Cancer Risk
• Breast Cancer - Behavioral Health Providers
• Breast Cancer Factsheet
• Breast Cancer Statistics
• Cervical Cancer - Behavioral Health Providers
• Cervical Cancer Statistics
• Cervical Cancer Facts - NBCCEDP
• FIT at Fifty HealthCheck Program Fact Sheet
• Colorectal Cancer Fact Sheet
• Ovarian Cancer Statistics
• Well Woman HealthCheck Program Fact Sheet

Program Brochures

• HealthCheck Programs
• BCCTP Applicant Brochure English | Español
• BCCTP Applicant Brochure (print versions) English | Español

Provider Training

• Breast Cancer Self-Study Modules
• Workplans: A Program Management Tool
• Community Health Worker Programs Materials
• Presentations
  • Screening for Breast, Cervical and Colorectal Cancer
  • Breast Cancer Screening and Risk Factors
  • Cervical Cancer Prevention
  • HPV Prevention and Vaccination
  • Disclosing High Risk Medical Conditions
  • Colorectal Cancer Prevention

Cancer Data

• Coverage of Colonoscopies under the Affordable Care Act
• Breast Cancer in Arizona 2000-2009

Note: Information provided in PDF files, unless otherwise indicated.