EDITIONEN·FR·ქართ

Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Standards › Standard 1 › Forms

Form · CLN-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee

Supports: 1.2

Purpose

The structured admission assessment for one patient, covering history, examination, risks and needs.

How to complete

Checks

Check Entry
History taken Yes
Examination and vital signs Yes
Falls, pressure, nutrition and VTE risks recorded Yes
Other disciplines involved where needed Yes or N/A
Assessed by (name and role) Yes
Checked by senior clinician Yes

Evidence

Reference Note
E-009 ASF Expert Committee consensus.
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

Download this document as PDF
Download this document as an editable Word file
© 2026 Accréditation Sans Frontières · PHIG · Sheni Network