Encounter Event Form Submit your request below Encounter Event Form V2 Step 1 of 3 33% Encounter InformationSite Location(Required)Pick a site locationDepartment(Required)In-House EventCommunity TripArts & CultureHarm ReductionResident LearningCommunity Health / Health & WellnessNeighbor-2-Neighbor CHW Program EncountersEncounter Type(Required)Individual Encounter (1:1 client engagement)Group Encounter (Harm Reduction Group)Harm Reduction Supplies DistributionEncounter Type(Required)Resident Learning Individual Encounter (1:1 client engagement)Resident Learning Group Encounter (Workshop, Presentation, or Tabling)Resident Learning Attempted ContactEncounter Type(Required)Health & Wellness GroupHealth & Wellness Individual EncounterEncounter Type(Required)N2N OutreachN2N GroupN2N Progress Note (for 1:1 engagements)Encounter Type(Required)EventTripWorkshopArt ActivityEvent Title(Required)Event Date PO Number(s)Event Description(Required)Bundled FormsFill these in once for the whole event. On the next page each tenant starts from what you set here, and you can change it per person before adding them.Include with this eventTick anything being given out. Leave all three unticked for a plain encounter. Hot Foods Incentive Content Release Hot FoodsPick the items for this event. Each tenant starts from this selection and you can change it per person on the next page. IncentiveDefaults for this event. Item and Reason can be changed for an individual tenant on the next page. Date Distributed is taken from the Event Date above.Item Type(Required)IncentiveDistributionItem(Required)Reason(Required)PO NumberDate Distributed Content ReleaseNothing to set up here. Each tenant reads the release and signs it on the next page. Tenant Signatures Tenant Name SignatureYour NameYour NameYour NameYour NameTenant NamesTotal Tenants Added signers: 0 Add Tenant When finished, click the Submit button below. Staff Sign-OffThe staff member running this event. Recorded on the encounter, and on every incentive handed out at it.Staff Name(Required) First Last Staff Signature(Required)Signed once for the whole event.Your NameYour NameYour NameYour Name
