EvidenceNOW: Intervention Tracking Field Note Form
Southwest Cooperative
Resource: Field Note Tracking Form—Southwest Cooperative (PDF, 151.3 KB, 5 pages)
This implementation tracking form was used by an EvidenceNOW Cooperative's staff to document each encounter with a participating practice.
Institution of origin: University of Colorado at Denver
Permissions: Used with the permission of EvidenceNOW Southwest.
Acknowledgements: EvidenceNOW Southwest, Agency for Healthcare Research and Quality EvidenceNOW Initiative
Date: October 31, 2016
