Crisis Illness Report

When a person calls about an incident. First is to apologize for any inconvenience this event has caused. Listen to the client and all of the concerns. We want to take notes as they are speaking and document the following as well.

Person calling In

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Contact Phone

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Date of the party

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m/d/y

What food did they have

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Did you see A Doctor?

YESNO Invalid Input

Symptoms started appearing on what date?

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m/d/y

What type of Symptoms are you having?

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Name the event was under

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Location of Event

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Can we please get your email address

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