Page 1 of 1

HIM Policy Review — Intake Form

Confidential educational review of your current policies and operating procedures. Completing this form takes approximately 5 minutes.

Sector

Sector
A
B
C
D
E
F
G

Which policies or documents would you like reviewed?

Which policies or documents would you like reviewed?

Please upload your current policy or SOP documents

Are there any current concerns, uncertainties, or scenarios your organisation is encountering?

Have any incidents, complaints, or staff concerns prompted this review?

Please confirm you understand and agree to the following

Please confirm you understand and agree to the following

: How did you hear about Healing in Motion?

: How did you hear about Healing in Motion?
A
B
C
D
E
F