We have prepared a simplified form to help local doctors standardize their health reports on the field :
- Print the A4 form (pdf) : http://goo.gl/OR4Mzs
- Edit the form : http://goo.gl/xTrLgv
- help the Doctors on site.
Further recommended readings
Disaster Emergency Needs Assessment Guide from the IFRC is quite useful.
Sources for Patient Intake Form re: symptoms from oil spill exposure