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Form · CON-FRM-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 1.5
Purpose
To record each reasonable adjustment agreed for a patient.
How to complete
- Complete one form per patient, per area or per period, as the purpose states.
- Tick Yes, No or N/A. Any No is actioned at once and reported to the person named in the procedure.
Checks
| Item to check | Standard reference |
|---|---|
| Need identified (language, mobility, sensory, communication, other) | Asked at admission [E-006] |
| Adjustment agreed with the patient | Recorded [EC] |
| Team informed | Yes [EC] |
| Reviewed at discharge or each change of care | Yes [EC] |
Evidence
| Reference | Note |
|---|---|
| E-006 | ASF Policy Framework v1.2. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | — | First approved version | Approved by the ASF Expert Committee |
E-learning for this document
- Equity, Diversity & Inclusion in Healthcare (EDI-001)
- Language Access & Communication Standards (LANG-001)
- Refugee & Migrant Health Standards (REF-001)
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)