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Medical Logs
Accidents
ID
Pupil / Section
Symptoms
Physician
Date
Status
Actions
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ID
Injured Pupil
Location
Injury Nature
Provider
Date
Status
Actions
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Medical Report
1. Pupil Information
Name
Age
Class
2. Clinical Assessment
Symptoms
Diagnosis
Physician's Name
3. Medications
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Select Medication (Stock Auto-fill)
Qty/Dosage
4. Treatment & Plan
Treatment
Recommendations by Physician
Accident Report
1. Pupil & Time Information
Name of Injured
Age
Class/Section
Date of Accident
Time of Accident
2. Incident Details
Specific Location of Accident
Staff Person(s) Supervising
Description of activity leading to accident
3. Injury & Emergency Care
Nature of Injury
Description of Emergency Care Given
Emergency Care Given by
Medical Treatment Recommended?
Yes
No
3b. Supplies/Medication Used
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Select Item (Stock Auto-fill)
Quantity
4. Follow-up & Sign-off
Where was the pupil taken?
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Principal's Office
First Aid Room
Home
Hospital
Parents Contacted?
No
Yes
Person Filling Report
Date of Report
Time of Report
REPORTS