HIV Outreach Process Documentation
5.3 OUTREACH DAILY BRIEFING AND DEBRIEFING Complete this form before and after outreach in the field to document the plan of where outreach will be conducted, expectations of activities and results and assessment afterward. Date: _____/_____/_____ Plan including location, activities and which staff members will perform what roles: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Assessment including results and recommendations for changes in locations, activities and staff roles: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Signature(s) of Staff Members Present: ______________________________________________ ____________________________________________________________
Montrose Counseling Center, Inc. Revised 5/03