Health Literacy & Your Health Center — Module 4 Post-Evaluation Form

Teach-Back

Name

Organization

Address

Address 2

City/Town

State

Zip

Phone

Credentials (M.D., N.P., N.A., etc.)

Role in your organization (Provider, Office Manager, Educator, other, etc.)

Better understanding and adherence

Improved satisfaction and outcomes

Reduction in callbacks and canceled appointments