Downloadable Project Forms

• 3 Day Food Record (this is a Word Document) - This form is used to keep track of what you eat for three days.  DUHOP's staff can use this record to help you plan a more nutritious diet.
• Pedometer Chart (this is a Word Document) - Use this chart to keep track of the number of steps that you take each day.  2000 steps = 1 mile.  To lose weight you should try for 10,000 steps a day.

Health Information Resources

• Drug Interaction at Subscriberx.com  Searches for interactions, duplications, and likely allergic reactions in the medicines that you are taking.  This is a great resource for people who are taking a combination of prescribed medicines, over the counter medicines, vitamins, and supplements.
• Medlineplus MedlinePlus will direct you to information to help answer health questions. MedlinePlus brings together authoritative information from the National Library of Medicine, the National Institutes of Health (NIH), and other government agencies and health-related organizations. MedlinePlus also has extensive information about drugs, an illustrated medical encyclopedia, interactive patient tutorials, and latest health news.
• emedicine Consumer Health A comprehensive website of health information.
  

Health Insurance Information Resources

• Louisiana Department of Insurance - Senior Health Insurance Information Program (SHIIP) website. SHIIP is a program to provide counseling and assistance to seniors who need health insurance information. SHIIP volunteer counselors provide counseling, free of charge, on a variety of topics regarding health insurance, including:
•  Supplemental and Long Term Care Insurance Policy Comparison
• Assistance with Claims
• Medicare-contracted Health Maintenance Organizations
• Medicare Supplement (Medigap) Insurance
• Medicare Appeals Process<>

• Louisiana Department of Health and Hospitals LaCHIP Program - Free health insurance for children under age 19 who are uninsured.
  
• Louisiana Department of Health and Hospitals LaMoms Program - Free health insurance for pregnant women.
• Louisiana Department of Health and Hospitals also has the following Medicaid health insurance programs:
• Medicaid Insurance Purchase Plan for workers with disabilities
• Medicaid insurance for women diagnosed with breast or cervical cancer
• General Medicaid Insurance Program for very low income parents of children under the age of 19, people who are blind, people who are disabled
  
• Medicare Savings Program (assistance with paying for Medicare premiums for low income seniors and disabled people)
• Louisiana Department of Health and Hospitals Long Term Care Program.  Louisiana's Medicaid Program provides payment for special long term care support services, as well as full Medicaid health coverage, to eligible people who, because of their medical condition, require assistance with activities of daily living (for example, eating, bathing, dressing, grooming, and transferring).  Long term care supports may be provided either in a facility or in an individual's own home or in the community.