Measles Case Tracking Form

Form Template

By nature, infectious diseases are a risk to public health and are particularly problematic to infants, children who have not been vaccinated, and people with compromised immune systems.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo

Immunization programs are meant to minimize or eliminate cases of such infection, but the onset of signs and symptoms that are consistent with that of the measles virus should be reported immediately. A local health department must thoroughly document and track cases of measles in order to minimize the number of people exposed to measles and decrease the risk of a measles outbreak. The Measles Case Tracking Form app can be used to gather critical information about potential cases of measles. For each case of measles observed, the healthcare professional would record details including the patient's name, date of birth, the onset of the rash, source of exposure, IgM result, MMR1, and MMR2 dates or a reason for not being vaccinated, and the case status.

Features
  • Signature Capture
  • GPS
  • Image Capture
  • Submission Editing
Read More
Platforms
  • iPhone
  • iPad
  • Android
  • Windows
Read More
Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us