Standards › Standard 9 › Forms
Form · FLD-FRM-003 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 9.7
Purpose
Holds the identity, treatment, medicines and referral for each patient, in the form the setting allows.
How to complete
- Give a temporary identifier on arrival if identity is unknown.
- Record each treatment and medicine.
- Record each referral.
Checks
| Check | Entry |
|---|---|
| Identity or temporary identifier | Yes |
| Presenting problem and treatment | Yes |
| Medicines given (drug, dose, time) | Yes |
| Referral or discharge destination | Yes |
| Recorded by and date | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the Sphere Handbook, Humanitarian Charter and Minimum Standards in Humanitarian Response (2018). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)