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International Accreditation of Healthcare Facilities

Free resource · Patient-safety tools · Toolkit 31 · Refugee & migrant health endorsement

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

Free A4 print-ready PDF · 1 page · keep the ASF mark · scan the QR on the print to return here

Culturally Safe Intake — Additional Questions for Newly Arrived Patients

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.

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The same code is printed on the tool itself. Scan it in any facility to reach this page.

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Adapted by ASF from openly licensed WHO, IAEA, AHRQ, CDC and NHS material, or ASF original — source and licence stated on every sheet. Free for any facility. Keep the ASF block.
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