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Alabama DOH Title X Program Quality Improvement Institute –
Appointment Scheduling Worksheet 2
Purpose: Consider how access to family planning services is shaped by the number of appointments
available for family planning services within a given health center setting.
Instructions: Complete a separate table for each day of the week that services are available [circle the day
of the week in space provided below]. In the table provided below in the first row please list the types of
appointments available for the given day [example: Title X MD, Title X RN, WIC, STD/TB, FP Initial, FP
Annual, Immunization etc.]. For each type of appointment, please list, the average number of
appointments available on the schedule template for that visit type by hour of the day in the space
provided.
SITE NAME: ___ ________________________________________________
DAY: Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Summary of Patient Appointments Available by Day per Hour
TIME
APPOINTMENT TYPE