FOI 25-005 Patient Report Forms

Freedom of Information Request

Reference
FOI 25-005 Patient Report Forms
Request Date
03 Jan 2025
Response Date
24 Jan 2025
Information Requested

Please can you provide me with copies of the following documents in PDF or DOC format;
- Paper Patient Report Form
- Electronic Patient Report Form Template (Or an example filled in ePRF)
- Multilingual Emergency Phrase Book (carried on A&E trucks)
- Patient & Carer Information packs (condition leaflets, P & C info forms, as carried on A&E
truck)
If you are unable for whatever reason to provide any of the above, please redact that
specific one from the request instead of denying the entire request

Response

Please see attached sample copies of a Paper Patient Report Form, an Electronic Patient
Report Form and Patient & Carer Information pack.
The Scottish Ambulance Service does not have a multilingual emergency phrase book
carried in vehicles.

Response Documents

Sampleblank Paper Patient Record Form (1) (1) (PDF | 606KB)

Samplepatientcarerinformtationformpdf (1) (1) (PDF | 168KB)

Sampleblank Epr (1) (1) (PDF | 168KB)