KOHP Forms

If you are a trained KOHP leader and are looking for the reporting forms for KOHP you have come to the right place. Here is a quick timeline to help you organize your workshops. The required forms are linked to the timeline for ease of use.

Timeline	Activity
At least 6 – 8 weeks before workshop	- Secure Workshop Co-leader
	- Select and Confirm Meeting Room
	- Select Workshop Dates and Times
	- Order participants books from KOHP Coordinator at 785-296-2330 or MLechner@kdheks.gov
	- Complete KOHP Class Report Form and send to KOHP Coordinator at 1000 SW Jackson, Suite 230, Topeka, KS 66612 or e-mail to MLechner@kdheks.gov
	- Determine registration procedures for workshop
4 – 5 weeks in advance	- Promote program to recruit participants - church bulletins - organizations newsletters - community calendar in the local newspaper - see if you can’t get a story in the local paper - place participant fliers where people gather - physician offices - senior centers - worksite bulletin boards - local pharmacy - grocery store
4 – 5 weeks in advance	- Register participants
1 week in advance	- Assemble Materials and Equipment - make sure the flipcharts are done
1 week in advance	- Determine which leader is going to lead which activity each week
Days of Workshop	- Be on-site early to do final check and arrange room
	- Have each participant complete KOHP Participant Registration Form
	- Record daily attendance on KOHP Class Attendance Form
	- Conduct workshops
	- Have each participant complete the KOHP Participant Feedback Form during the last class session.
	- Participate Certificate of Completion
1- 2 weeks after workshop ends	- Mail KOHP Participant Registration Form, KOHP Class Attendance Form & KOHP Participant Feedback Form to KOHP Coordinator at 1000 SW Jackson, Suite 230, Topeka, KS 66612 or e-mail to MLechner@kdheks.gov
1- 2 weeks after workshop ends	- If this is your first workshop complete the KOHP certification application form and return it with the KOHP Class Attendance Form to KOHP Coordinator.