FIP Triage Form

Triage Form Presentation

Short presentation about how to fill the Triage Form

Triage Form

SECTION I

Shaded Area

Triage Form

SECTION II

Major complaint

Triage Form

SECTION III

Doctor's notes

Triage Form

SECTION IV & V

Diagnosis / Procedures

Triage Form

SECTION VI & VII

EKG / Lab Test

Triage Form

SECTION VIII

Non-Prescription Medications

Triage Form

SECTION IX

Ambulatory Aids

Triage Form

SECTION X

Prescription Meds