Evaluation Documents
Intake
Intake Form revised for 0-month Biannual-2018-06-26 (PDF)
AB-PCAP-Pregnancy Outcomes Form-2023-09-10 (PDF)
Biannuals
AB-PCAP_Biannual-Baseline-Mentor Qs with Intake Form-2019-04-01(PDF)
AB-PCAP_Biannual-Baseline-2019-04-01(PDF)
AB-PCAP_Biannual-6-36months-2023-09-22 (PDF)
Biannual support documents
PCAP Biannual Coding Tips-2015-04-04 (PDF)
AB-Biannual Assessment Coding Manual-2019-04-01(PDF)
Program Evaluation
PCAP_Program_Survey (PDF)
Other PCAP forms
Penelope Informed Client Consent (PDF)
Waitlist Prioritization Guide-2018-05-17 (PDF)
PCAP Transfer Form and Guidelines-2019-08 (PDF)
PCAP Fidelity Assessment (2023) (Word Doc)
Support documents
Penelope Overview Quick Tip Sheet (PDF)
Penelope support request: Add multiple PCAP individuals (Excel)
PCAP Paperwork Tracker-2019-02-25 (Excel)
Calendar Templates (Excel Doc)
Client Rating Scale (PDF)
ASIs (optional)
*Note: As of February 13, 2019, PCAP programs are no longer required to use the Intake ASI. Click here for more information.
Introducing the ASI (PDF)
ASI_Intake_Interview_Part_A (PDF)
ASI_Intake_Manual (PDF)
ASI_Exit_Interview_712013 (PDF)
ASI_Exit_Manual (PDF)
PCAP Intake ASI info for Biannual Forms-Summary 04-2016 (Word Doc)