Your Medical Setting and WIPHL Services
One of the best things your medical setting can do for patients is start offering evidence-based, cost-saving alcohol and drug screening, brief intervention, and referral-to-treatment (SBIRT) services.

The following materials will help guide you and your clinic or other medical setting through the process of setting up these important services. Please don't hesitate to contact us with any questions.

(read first) Letter to Prospective Partners
Clinical director Richard L. Brown, MD, MPH, offers an overview of WIPHL services and criteria for medical settings.

Memo of Understanding

SBIRT IRB Exemption

WIPHL Site Guide and Checklist
This document will help you assess how to get your site "WIPHL-ready." A completed clinical site guide and checklist will serve as your application to join WIPHL.

Business Associate Contract
A sample of the agreement signed between WIPHL and participating medical settings.

Brief Screen Template
Here is the brief screen that everyone gets (shown here in template form). The questions concerning alcohol and drug use must be included. Other sections may be left out, depending on your clinic's particular needs and/or resources.

Full Screen
Patients with a positive brief screen will receive a full screen comprised of these questions, formally called the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST).

Health Educator Job Description
Some WIPHL settings employ their own health educators while others receive WIPHL funding for that position. In either case, this job description details what to look for when hiring.

Health Educator Competencies
An overview of information learned during initial health educator training with WIPHL.

Participation in Quality Improvement
All WIPHL sites are expected to participate in ongoing quality improvement (QI) efforts. For more on WIPHL and QI, please click here.