HOPE Medivan

(Free Mobile Medical Clinic)

of the

Nineveh Outreach Ministry

Document	Status	Date Posted
Volunteer Handbook and Policies	Updated	09/05/08
Medivan Forms
901 – Primary Language	Final	07/30/08
902 – Waiver of Liability	Final	07/30/08
903 – Medical Linkage	Final	07/30/08
904 – Patient Record	Final	07/30/08
905 – Unusual Occurrence Report	Final	07/30/08
907 – Medical History	Final	07/30/08
908 – Medical Review	Final	07/30/08
909 – Patient Information	Final	07/30/08
910 – Inventory Log	Final	07/30/08
911 – Record Check-out	Final	07/30/08
912 – Clinic Log	Final	07/30/08
913 – Equipment Inspection Log	Final	07/30/08
914 – Medical Release Form	Final	11/04/08
920 – Suspicious Injury	Final	07/30/08
950 – Lab / X-ray Log	Final	07/30/08
951 – Voucher	Final	07/30/08
ss8572 – Child Abuse Report Form	Final	05/27/09
.

Volunteer Forms

997 – Volunteer Application	Final	07/30/08
998 – Volunteer Orientation	Final	07/30/08
999 – Volunteer Acknowledgement Form	Final	07/30/08
906 – Job Descriptions	Final	07/30/08
994 – Hep B Waiver	Final	05/08/09
995 – Employment Verification	Final	05/08/09
996 – Health Screening Report	Final	03/23/09
Training
Volunteer Orientation		05/21/09