First Responder Patient Data Form

Try this free first responder patient data form for your mobile device.

Gather important patient information during emergency response requests when you are first at the scene. Record details about medical treatments given to the patient at the location before the patient is transported away to receive further medical care.

Try our first responder patient data form for free on any mobile device with a free trial of IntouchCheck mobile form software. Sign up for a free trial today and ask your Intouch specialist to load this pre-built form into your account.

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Firefighters, police officers, emergency medical personnel and paramedics may arrive first at a location where people require medical attention. These first responders are trained and certified to give pre-hospital medical care to a patient until an ambulance arrives. Properly recording the medical care given to a person is vital so that doctors at the hospital can give the correct continuing care. Our first responder patient data form can be used by all first responders to record medical treatments and patient information.

Form Details

Improve services given to people when called out to medical emergencies. Our first responder patient data form provides an easy-to-use template where you can input a patient's contact information, their current health vitals, suspected medical causes, and treatment given at the location scene. Our form helps first responders keep accurate emergency response information to lessen medical service errors. This information can then be provided to other first responders as well as emergency room doctors to improve the quality of medical care.

Our first responder patient data form allows you to keep track of all patient medical information on your mobile device to ensure accuracy. This template provides the following categories and drop down menus so information can easily be placed into the fields:

  • Emergency location details
  • Emergency response details
  • Patient's personal information
  • Patient's medical history details
  • Current health vitals
  • Suspected illnesses and injuries
  • Probable cause of medical condition
  • Basic life support procedures given
  • Medic information
  • Signatures

Customize Your Digital First Responder Patient Data Form

We know that every business is unique, and your forms should reflect that. Our ready-to-use template is a comprehensive list of industry standard fields, but it is most useful when customized to reflect your own needs. The IntouchCheck platform makes it simple to quickly customize the mobile form template to meet the individual needs of your company and goals; questions, fields, or sections can be quickly removed, and new queries or fields can be added in the appropriate places to fit your project.

Create Your Own First Responder Patient Data Form Template

Already have processes and procedures in place? IntouchCheck’s straightforward interface makes it fast and easy to create your own forms, where you can customize the sections, categories, questions, and types of data/image capture fields. We’re here to help you get started! Try IntouchCheck for free, and see how easy it is to streamline your business processes.