Unbridled Spirit Logo
Home
Entry
Osteoporosis Program- Local Health Department Logging
System Information 
Logging Type:
  73 
Logging Item:
  0 
Create Date:
   
Health Department

Kentucky Department for Public Health

Kentucky Chronic Disease Prevention Branch- Osteoporosis Program

Local Health Department Reporting Form

Education- Outreach- Awareness


Current Year
*
Reporting Period:
Health Department:
Staff Contact:
Phone:
Email:

Do you have activities to report this quarter?  *

Scope of Activity:




If Other:
Topics
Osteoporosis Prevention:


If Other:

Falls Prevention:




If Other:
Interventions/Events
Physical Activity:
If Other:
Total PA Reach:
Total PA Reach (NEW):


Self-Management Education:
If Other:
Total SME Reach:
Total SME Reach (NEW):

Comminity Engagement:



Additional Information:
Total Reach:

Nutrition Education Offered:
Total NE Reach:
Total NE Reach (NEW):

Site of Program/Service:





If Other:

Target Audience:






Total Reach:
Total Reach (NEW):

Did you attend the KSPAN meeting during this quarter?

Attended KSPAN Y or N

*

Any public awareness or education materials published during this quarter?

Publications Y or N

 
Privacy | Disclaimer | Individuals with Disabilities
Copyright © 2009 Commonwealth of Kentucky
All rights reserved.
CHFS Application Name