Culturally Safe Intake — Additional Questions for Newly Arrived Patients
Six questions added to registration, asked with an interpreter, that change the care plan: language, country and route, arrival date, documents and entitlement, health on arrival, what matters to you
What it is
A one-page supplement to the registration form for refugees, asylum seekers and migrants: language and interpreter need, origin and journey, arrival date, legal status and entitlements (asked to help, never to exclude), health screening on arrival, medications brought, priorities — with the safeguarding prompts.
Where to use it
Reception or first consultation, with an interpreter; filed with the registration; reviewed by the clinician before the first visit. Evidence for: Refugee & Migrant Health endorsement — people-centred intake; Standard 2 — registration; Universal Floor — non-discrimination. Evidence for: Refugee & Migrant Health endorsement — people-centred intake; Standard 2 — registration; Universal Floor — non-discrimination. Evidence for: Refugee & Migrant Health endorsement — people-centred intake; Standard 2 — registration; Universal Floor — non-discrimination. Evidence for: Refugee & Migrant Health endorsement — people-centred intake; Standard 2 — registration; Universal Floor — non-discrimination. Evidence for: Refugee & Migrant Health endorsement — people-centred intake; Standard 2 — registration; Universal Floor — non-discrimination.
Translate and adapt
English master edition. Georgian and other translations are added as they are clinically reviewed. Any facility may translate, add its logo and adapt wording to local practice — keeping the ASF block, the source attribution and the licence line on the sheet. Clinical thresholds and drug doses must be confirmed against national protocols before use.
The same code is printed on the tool itself. Scan it in any facility to reach this page.
Refugee and Migrant Health — Staff Competency Self-Assessment
Language Access — Interpreter Protocol and "I Speak" Card
Trauma-Informed Care — Six Principles, One Card
Your Right to Care Here — Poster for Refugees and Migrants