Standards › Standard 41 › Forms
Form · TRM-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 41.3
Purpose
Records the warning sign screen at each visit, and each referral to conventional care with its outcome.
How to complete
- Record the warning sign screen at each visit.
- Record any warning sign and the referral made.
- Record the outcome of the referral.
Checks
| Check | Entry |
|---|---|
| Warning sign screen result | Yes |
| Warning sign found and time | Yes |
| Referral destination and time | Yes |
| Outcome | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WHO Traditional Medicine Strategy 2014–2023, the WHO guidance on substandard and falsified medical products, and the ASF Hospital standard for informed consent and incident reporting. |
| 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 |
E-learning for this document
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)