A three-part carbonless form that documents self-care goals and follow up. Based on the AADE7 Self-Care Behaviors, educators can work with patients to select a self-care behavior, select a sample goal or create an individual goal, provide dates for achievement and follow up, and document whether the goal was achieved, continued or modified. Available in Spanish and English.
Discounted AADE Member Price: $12.50 (pack of 25), $40 (pack of 100), $350 (pack of 1,000)
Nonmember Price: $18 (pack of 25), $50 (pack of 50), $450 (pack of 1000)