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ABOUT
MISSION & VISION
STRATEGIC PLAN
2020 ANNUAL REPORT
BOARD OF DIRECTORS
OUR TEAM
CAREERS
OUR HISTORY
OUR SPACE
FACILITY RENTAL
CONTACT US
PROGRAMS
YOUTH: RAINBOW ALLEY
OLDER ADULTS: SAGE
CAPITOL HILL CARE LINK
INDIVIDUALIZED SUPPORT
TRANSGENDER
ENTREPRENEURSHIP CLASSES
RANGE CONSULTING
LEGAL
HATE CRIMES
LGBTQ FAMILY
COLORADO LGBTQ HISTORY PROJECT
ORAL HISTORY PROJECT
RESEARCH & RESOURCES
MKHC TRANS HISTORY RESOURCES
LESSON PLANS & MORE
BOOK GROUP
EVENTS
THE CENTER CALENDAR
46th ANNIVERSARY GALA
DENVER PRIDE
RESOURCES
RESOURCE DIRECTORY
COVID-19 RESOURCES
BLACK LIVES MATTER
BIENVENIDOS
BLOG
SUPPORT US
VOLUNTEER
VOLUNTEER AT THE CENTER
VOLUNTEER AT DENVER PRIDE
GIVE
DONATE NOW
SHOP FOR GOOD
Search for:
ABOUT
MISSION & VISION
STRATEGIC PLAN
2020 ANNUAL REPORT
BOARD OF DIRECTORS
OUR TEAM
CAREERS
OUR HISTORY
OUR SPACE
FACILITY RENTAL
CONTACT US
PROGRAMS
YOUTH: RAINBOW ALLEY
OLDER ADULTS: SAGE
CAPITOL HILL CARE LINK
INDIVIDUALIZED SUPPORT
TRANSGENDER
ENTREPRENEURSHIP CLASSES
RANGE CONSULTING
LEGAL
HATE CRIMES
LGBTQ FAMILY
COLORADO LGBTQ HISTORY PROJECT
ORAL HISTORY PROJECT
RESEARCH & RESOURCES
MKHC TRANS HISTORY RESOURCES
LESSON PLANS & MORE
BOOK GROUP
EVENTS
THE CENTER CALENDAR
46th ANNIVERSARY GALA
DENVER PRIDE
RESOURCES
RESOURCE DIRECTORY
COVID-19 RESOURCES
BLACK LIVES MATTER
BIENVENIDOS
BLOG
SUPPORT US
VOLUNTEER
VOLUNTEER AT THE CENTER
VOLUNTEER AT DENVER PRIDE
GIVE
DONATE NOW
SHOP FOR GOOD
SAGE: Friendly Visitor Log
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For Older Adults: SAGE of the Rockies
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Individualized Support for Older Adults
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SAGE: Friendly Visitor Log
SAGE: Friendly Visitor Log
Date of Visit:
*
MM slash DD slash YYYY
Your Name:
*
First
Last
Name of person who you visited:
*
First
Last
How much time did you spend with your friend? (quarter hour increments)
*
0.25
0.50
0.75
1.00
1.25
1.50
1.75
2.00
2.25
2.50
What did you do during the visit?
*
Talked
Arts and Crafts
Read to friend
Walked
Read to friend
Listened to music
Email/Letter
Please describe your visit (including any concerns about person/staff):
*
Please note any new concerns from this visit:
Are there any changes you would like to note about this visit?
Change in case worker
Room change
Moved out
Incoherent
Moved to Rehabilitation Center
Facility change
Decline in health
Deceased
When you click "Submit" you will redirected to the reporting menu to enter any additional reports that you may have. If you have no additional reports to enter, simply close the window. Thank you for completing your report.
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