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Some of the Community Gifts have been published using Adobe Acrobat and can be viewed using the FREE Adobe Acrobat Reader which can be downloaded by following the link.....

Each Phase Two CIC community has submitted a “gift”, a resource, tool, strategy and/or material that has been especially useful in developing an enrollment-based, health care-delivery program for the uninsured. In sharing these valuable resources, the hope is to facilitate the work of similar community-based, health care initiatives. Viewers are welcome to download and utilize these materials as appropriate.

CIC Community	Gift	Gift Description (Click the button to view a summary of the “gifts”)
Birmingham, AL	Patient Authorization Form Consent for Disclosure of Information HealthPlus Application HealthPlus Registration Checklist Notice of Privacy Practices	2002 Gift Summary
Oakland, CA	Summary of Media Materials: County of Alameda Uninsured Survey CAUS Key Message from CAUS Policy Fact Sheet Health Services Fact Sheet (English) Health Services Fact Sheet (Korean) CAUS Immigrant Fact Sheet (English) CAUS Immigrant Fact Sheet (Vietnamese) CAUS Press Release CAUS Press Release (Chinese) Program Accomplishments Alameda County-wide Shelter & Services Survey	2002 Gift Summary 2003 Gift Summary
Washington, DC	Medicaid Enrollment Survey	2003 Gift Summary
Jacksonville, FL	Overview of Jacksonville Community Forums Forum Agenda List of Forum Participants (Sample) Panelist Biographies (Sample) Ground Rule for Shared Dialogue Evaluation Form Jax-Care Sources of Funding Jax-Care Pilot Program Jacksonville Executive Summary	2002 Gift Summary 2003 Gift Summary
Macon, GA	Summary of Georgia Medicaid Funding Legislative Letter Community Health Works	2002 Gift Summary 2003 Gift Summary
Wichita, KS	Sedgwick County Cable TV Market Survey Project Access Evaluation Description	2002 Gift Summary 2003 Gift Summary
Louisville, KY	Coalition Bylaws Articles of Incorporation getCare Board Retreat Working Agenda Exercise One: Benchmark Ideas Exercise Two: Identifying Potential Investors Exercise Three: Board Support and Commitment Individual Board Member Commitment	2002 Gift Summary 2003 Gift Summary

Portland, ME	Care Partners Member Guide Care Partners Self-Mailing	2002 Gift Summary 2003 Gift Summary
Jackson, MS	Authorization for Release of Protected Information	2003 Gift Summary
Brooklyn, NY	Legislation to Create Affordable Insurance for the Working Uninsured Analysis of Changes in Brooklyn Healthworks Insurance Products	2002 Gift Summary 2003 Gift Summary
Buffalo, NY	A HCRA Economic Stimulus HealthforAll HCRA Funding Request Follow Up WNY Request for Delegation Funds HealthforAll Marketing Plan 2003	2002 Gift Summary 2003 Gift Summary
Portland, OR	Portland Service Area Hospital Financial Assistance Guidelines Blue Ribbon Panel on Healthcare Access	2002 Gift Summary 2003 Gift Summary
Austin, TX	Q & A - English Authorization Form - English Authorization Revocation ED Use Preliminary Report Authorization Form - Spanish Q and A Spanish ICC Gift Card Use and Capacity Report Pharmacy Flow Sheet Proposed Pathways	2002 Gift Summary 2003 Gift Summary
Spokane, WA	First Draft Proposal to State Policy Leaders Draft of Regional Health Care Legislation Inland Northwest in Charge (INIC) Policy Strategy Grid INIC Policy Principles	2002 Gift Summary