Switch to paperless COVID-19 PUI and Case Report Forms
If a frontline worker is exposed—or is concerned they may have been exposed—to the coronavirus, it’s of the utmost importance the case be reported following the protocols outlined by the Center for Disease Control and Prevention (CDC). The COVID-19 PUI and Case Report Form takes a frontline worker through the CDC’s detailed questionnaire and automatically sets the protocol into action.
COVID-19 PUI and Case Report Forms are ideal for any organization, especially for frontline workers responsible for:
- Installing, servicing, or maintaining medical equipment in health facilities
- Food manufacturing and delivery
- Providing utility maintenance and service
- Cleaning and inspecting facilities
With ProntoForms, this form can be customized to follow any organization’s unique protocols. Guide frontline workers through new procedures on their mobile device, including:
- The CDC PUI questionnaire
- The most up-to-date company protocol in the event of exposure
- Contact information for closest COVID-19 assessment facility based on worker’s location
Rapidly build and deploy custom COVID-19 and emergency response apps. Request a demo to learn how ProntoForms can help.
Drop that clipboard. Collect data on mobile devices.
Digitize CDC forms and deploy them to field teams instantly.
Work smart in the field
Guide users with step-by-step mobile forms that ensure consistency.
Report back in real-time
Send reports to people and back-end or analytics systems.
Field Service Director, Purell
Features designed for rapid emergency response
Rapid onboarding platform
Our user-friendly design and intuitive workflows that most technicians can grab the app and go with little to no training.
Work smart with conditional logic
Ensure fast inspections, investigations, and asset service with dynamic forms that tailor pre-set questions and prompts based on user input.
Complete and submit mobile forms without on-site connectivity. Forms are auto-sent once network is restored.
Get the full picture with rich media
Emergencies aren't the time to second guess. Collect photos, videos, audio recordings and more for accurate records.
A compliance workhorse
Have complete auditability of work with EHS and FDA guidelines built into custom FEMA damage assessment apps.