This is an official
CDC HEALTH ADVISORY
Distributed via Health Alert Network
Thursday, September 08, 2005, 13:15 EDT (1:15 PM EDT)
CDCHAN-00234-2005-09-08-ADV-N
Medical Intake Form for Hurricane Katrina Evacuees
Medical Intake Form for Hurricane Katrina Evacuees
This interim form is intended to be used for medical intake assessment
and triage of evacuees entering a shelter facility or evacuation center. The
form can be used to identify evacuees who may need additional medical
evaluation and treatment. The first page contains registration information for
use by facility, local, and state authorities. The remaining pages can be used
to anonymously report medical conditions among evacuees.
The form is available online at http://www.bt.cdc.gov/disasters/hurricanes/katrina/evacueeform.asp
##This
Message was distributed to State and Local Health Officers, Public Information Officers, Epidemiologists, State Laboratory Directors, Weapons of Mass Destruction Coordinators and HAN Coordinators, as well as Public Health Associations and Clinician organizations##
|
Categories of Health Alert Messages:
|
|
Health Alert
|
Conveys the highest level of importance; warrants immediate
action or attention.
|
|
Health Advisory
|
Provides important information for a specific incident or
situation; may not require immediate action.
|
|
Health Update
|
Provides updated information regarding an incident or situation; unlikely
to require immediate action.
|
|
You have received this message based upon the information
contained within our emergency notification database. If you have a different or additional e-mail or fax address that you would like us to use, please contact the Health Alert Network program at your State or local health department.
|
|
