Infectious Diseases Admission Form Template

This form is used for patients presenting with fever, infection, exposure history, or symptoms suggestive of communicable diseases. It helps clinicians document travel history, contact tracing, isolation requirements, and infectious disease investigations.

It is ideal for infection control teams and departments managing contagious or high-risk patients.

Key Features

• Exposure & travel history

• Fever & symptom documentation

• Serology and lab investigations

• Isolation assessment fields

• Physician diagnosis & plan

Who Should Use It

Infectious disease specialists, ER departments, clinics, and public health units.

Why It Helps

Improves early detection and management of infectious conditions.

• Version
• File Size 355.72 KB
• File Count 1