Training Resources (For WISEWOMAN Provider Sites Only) - Providers

Eligibility Requirements  

Gaining Access to WISEWOMAN Data and Billing System: use this form to request a password and user name for the data and billing system.

Required Forms and Required Resources

Enrollment/Re-enrollment Form - must be filled out for any women enrolled in BCCP/WISEWOMAN. Basic patient information and eligibility information is required as well as a signed client consent.  Spanish version. |  Chinese version. |  Russian version.

Assessment Form - this form parallels the electronic data fields for the assessment cycle for WISEWOMAN clients. It is used to record health history, family history and other information to evaluation a WISEWOMAN clients potential risk factors and lifestyle choices.  Spanish version. |  Chinese version. |  Russian version.

Screening Form - the screening form parallels the electronic data base fields for the screening cycle for WISEWOMAN clients. It is used to record information related to screening tests covered by the Oregon WISEWOMAN program.  Spanish version.

My Health Information is provided to clients to record the results of their WISEWOMAN screening tests. Illustrations provide clients with an easy way to interpret if their personal test results are considered in the normal, abnormal or alert range. Tips on leading a healthy lifestyle are also included. Spanish version. | Chinese version. | Russian version.

Community Resources is provided to clients with information and resources geared towards smoking cessation, healthy eating. and physical activity. Spanish version. | Chinese version. | Russian version.

Resources

CPT and ICD-9 codes for WISEWOMAN - this document lists the allowable procedures and the corresponding Current Procedural Terminology (CPT) codes for use in the Oregon WISEWOMAN program. It is updated annually. It does not include reimbursement information.

Training Tips for Providers

Treatment Referral Voucher