Living a Healthy Life (Chronic Disease Self-Management Program – CDSMP)

• Course Roster/Participant Attendance Form (1 per workshop) (Electronic/Fill-in Format)

• • Extra Pages – Course Roster/Participant Attendance (as needed) (Electronic/Fill-in Format)

• Living a Healthy Life (CDSMP) Participant Release (1 form per participant)
• Participant Information Survey Card (by Region) (1 form per participant)
• CDSMP Provider Feedback Form (1 form per participant; week 5)

Paperwork Submission:  Please submit all forms to your RAC Coordinator at the completion of each course.  Paperwork should be submitted in full, completed, and in a timely fashion.