COVID-19 Treat and Release Follow up Questionnaire

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The Regional Paramedic Program for Eastern Ontario is conducting a survey of patients who have COVID symptoms and are released from care following a 911 call.  

"We would like to ask you seven questions about your experience during the last 911 call. This information is being collected by the Base Hospital Physicians to evaluate this new COVID-19 Medical Directive. Your answers will be used for quality improvement and help shape care for future patients. This survey is voluntary and will remain with the Base Hospital Physicians as part of their medical directive evaluation. Would you be willing to complete this survey?"


Please obtain consent from the patient to continue.
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The paramedics and physician consult recommended that you could stay at home.

We have a couple of questions about that experience.





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Questionnaire completed by:

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Please enter your EHSN in the appropriate box if available
Please enter your EHSN in the appropriate box if available

About Us

The Ontario Base Hospital is a fictitious base hospital. This site is used for demonstration, development and testing purposes only.

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