Switch to paperless COVID-19 PUI and Case Report Forms

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Full Name

Company

Email

Phone

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.

Go paperless

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.

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"We're expecting a very high demand for our field service team. We've been working to ensure that our ProntoForms apps have consistent terminology and that we're all using it the same way. This will help us with onboarding and training additional staff that will surely be needed with our elevated demand." 

Lenny Cumberledge
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.

Work anywhere

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.

Need quicker emergency response?
Go digital with ProntoForms

Keep your organizational reporting of, and response to, coronavirus exposure consistent with CDC guidelines.