Tag: Staff Resources Resource
Staff Resources Resource
Site Reporting
Use the below links for site reporting.

Quarterly Report Links
January – March Healthy Start/Family Spirit Quarterly Report (NOTE: Due April 30)
https://www.surveymonkey.com/r/Jan-Mar25
April to June Healthy Start/Family Spirit Quarterly Report (NOTE: Due July 30)
https://www.surveymonkey.com/r/April-June25
July – Sept Healthy Start/Family Spirit Quarterly Report (NOTE: Due October 30,)
https://www.surveymonkey.com/r/July-Sept25
OCT to DEC Healthy Start/Family Spirit Quarterly Report (NOTE: Due January 30,)
https://www.surveymonkey.com/r/Oct-Dec25
Reflective Supervision Links
October 2024
https://www.surveymonkey.com/r/RSOct2024
November 2024
https://www.surveymonkey.com/r/Nov24RS
December 2024
https://www.surveymonkey.com/r/RSDec24
January 2025
https://www.surveymonkey.com/r/RSJan25
February 2025
https://www.surveymonkey.com/r/RSFeb25
March 2025
https://www.surveymonkey.com/r/RSMar25
April 2025
https://www.surveymonkey.com/r/RSApril25
May 2025
https://www.surveymonkey.com/r/RSMay25
June 2025
https://www.surveymonkey.com/r/RSJune25
July 2025
https://www.surveymonkey.com/r/RSJuly25
August 2025
https://www.surveymonkey.com/r/RSAug25
September 2025
https://www.surveymonkey.com/r/RSSept25
Training Videos

Home Visitor Safety
Gikinawaabi Training
LOLLIPOP Training
Staff Resources Resource
Home Visitor Resources

Staff Resources Resource
Webinars
Staff Resources Resource
Yellow Shall Workshop Toolkit

Staff Resources Resource
Program Forms

- Prenatal Enrollment Addendum
- Prenatal Visit Encounter Form
- Prenatal Medical Chart Review
- SCRIPT
- Prenatal Assessment Due Date Calculator
- Enter Edit Form
- HRSA Background Form
- HRSA Background Rescreen – Exit Healthy Start
- HRSA Background Rescreen – Other
- HRSA Prenatal Form
- HRSA Prenatal Rescreen EXIT
- HRSA Prenatal Rescreen – Other
- HRSA Prenatal Rescreen- Pregnancy Ends Form
- HRSA Prenatal Rescreen Prenatal Visit Form
- Infant-Child Medical Review Chart
- Child Enrollment Addendum
- Infant/Child Assessment Due Date Calculator
- Infant Visit Encounter
- Child 1 Year Assessment
- Child 2 Year Assessment
- Child 3 Year Assessment
- Child 4 Year Assessment
- Child 5 Year Assessment
- Infant child- addendum to infant risk identifier
- Lollipop- Test Booklet
- Lollipop- Shapes for copying
- HRSA Parent Child Form
- HRSA Parent/Child Rescreen – Exit Healthy Start
- HRSA Parent Child Rescreen – Loss of Child
- HRSA Parent Child Rescreen – Stopped Breastfeeding
- HRSA Parent/Child Rescreen – Other
- HRSA Parent/Child Rescreen – Child turns 6 months
- HRSA Parent/Child Rescreen – Child turns 1 year
- HRSA Parent/Child Rescreen – Postpartum Visit
- Cultural Lollipop Stimulus Cards
- Cultural Lollipop Test Booklet
- Postpartum Assessment Due Date Calculator updated 2022
- Postpartum Enrollment Addendum_with child Under 18 months
- Postpartum Enrollment Addendum_with child Over 18 months
- Postpartum Visit Encounter Form
- Postpartum 6 Month Assessment
- Postpartum 1 Year Assessment
- Postpartum 2 Year Assessment
- Postpartum 3 Year Assessment
- Postpartum 4 Year Assessment
- Postpartum 5 Year Assessment
- PICCOLO_page1
- PICCOLO_page2
- PICCOLO_page3
- PICCOLO_page4
- Post Partum Medical Chart Review
- Protective Factors Survey
- SCRIPT
- HRSA – Background Rescreen-Post Pregnancy Follow-Up
- HRSA – Background Form
- HRSA Background Rescreen – Annual
- HRSA Background Rescreen – Child turns 6 months
- HRSA Background Rescreen – Other
- HRSA Background Rescreen – Exit Healthy Start
- FO assessment Due Date Calculator
- Father/Other Enrollment
- Father/Other Annual Assessment
- Father Other Encounter
- AUDIT-DAST
- Protective Factors Survey
- Enter Edit Form
- Other Contact Form
- HRSA Background Rescreen – Other
- HRSA Background Rescreen – Child turns 6 months
- HRSA Background Rescreen – Annual
- HRSA Background Rescreen – Exit Healthy Start
- HRSA Background Form
- Father Other Medical Chart
- Partnership Building Checklist
- Enter Edit Form
- Fam Spirit Lesson Checklist in Sequence
- Client Satisfaction Survey
- Family Spirit Curriculum age 3-5 _5.15.15
- HS/FS Program Exit Form
- HS Client Satisfaction Survey LINK
- HSID Numbering system
- Protective Factors Survey_2015
- Quarterly Report Outline
- HS-FS Visit Sequence chart updated 12.16.22
- ITC of MI HS Eval_Informed Consent_PRAMS_092716
- OPTOUT ITC of MI HS Eval_Informed Consent_PRAMS_092716-1
Staff Resources Resource
Gikinawaabi
Gikinawaabi was designed to ground early learning activities in our traditional lifeways. The skills needed for early reading, math, and language are all inherent in our culture. In today’s world, we recognize the importance that children’s experience in school has on the rest of their life. We also recognize connecting children to their lifeways and language also helps them throughout their lives. The content of Gikinawaabi targets specific school readiness skills by utilizing the innate richness of our Anishinaabe way of life.

Resources
- Lesson 19 Coming Soon!
- Lesson 21 Coming Soon!
- Lesson 22 Coming Soon!