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CorrectCare
Juvenile Voice
Emergency
Contraception in Maryland
EC forms
and tools used by the Maryland Department of Juvenile Services.
To access these files, download them to your computer before
opening them.
Forms
Consent Form
Fact Sheet
Flowsheet-Protocol
Female Reproductive Assessment
Evaluation Protocols
Audit Forms
Clinic Visit Sheet
Evaluation Structure
Pretest
Intake Assessment Log
Nurse Counseling Checklist
Youth Fact Sheet and Consent Form Quiz
Youth Survey
Clinician Handbook
For PowerPoint training
presentations, please contact Jessica Burns, RN, MSN/MPH,
nursing program consultant at the Maryland DJS,
BurnsJ@djs.state.md.us.
[This article first appeared in the
Fall 2009 issue of CorrectCare.]
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