Get Patient Report Form

Filling out the Patient Report Form online is an essential step for documenting crucial medical information. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Patient Report Form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date and time at the top of the form under the 'Assess Scene' section, ensuring accuracy for effective record-keeping.
3. In the 'Secondary Survey' section, provide details on the mechanics of injury by circling either 'Medical' or 'Trauma' as applicable.
4. Address head-to-toe findings in the designated fields. Document observations systematically to assist any follow-up assessments.
5. Continue with the primary survey by assessing the abdomen, pelvis, and extremities. Utilize the guidance provided in each section to evaluate the patient's condition.
6. Evaluate airway management by checking for obstructions and following the prescribed actions listed under airway, breathing, and circulation.
7. Record medical history, including allergies and medications, to understand the patient's background and inform treatment decisions.
8. Document the time and details of the accident in the 'Accident Detail' section, along with the patient's name, age, sex, and address.
9. Assess and note the initial condition of the patient, including their airway, breathing, pulse, and other vital signs in the provided fields.
10. Utilize the 'Questions about Persons Pain' section to guide the patient through discomfort assessments using the O-P-Q-R-S-T method for pain evaluation.
11. Input vital signs, ensuring to update them every 15 minutes until stable, and continue to document any relevant data during treatment.
12. Finally, save changes to the form and choose to download, print, or share the completed report as needed to maintain thorough documentation.

Complete your Patient Report Form online today for accurate and efficient documentation.