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REFUGEE HEALTH
ASSESSMENT TEMPLATE
Contributors
The ARC Medical Screening and Surveillance Committee would like to acknowledge the
following individuals for their contribution in developing this document:
Medical
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How to fill out refugee health assessment template
01
Start by obtaining a refugee health assessment template. These templates can typically be found online or provided by refugee resettlement agencies.
02
Begin by filling out the basic personal information sections of the template. This includes the refugee's full name, date of birth, gender, and contact information.
03
Move on to the section that asks for the refugee's immigration or arrival details. This may include their refugee identification number, date of entry into the country, and any other relevant immigration information.
04
Next, complete the section about the refugee's medical and health history. Provide information about any pre-existing medical conditions, chronic illnesses, surgeries, or hospitalizations. Include details of any prescribed medications and vaccinations received.
05
Fill in the section regarding the refugee's mental health and psychological well-being. This may involve providing information about any experiences of trauma, as well as any mental health concerns or previous counseling received.
06
Complete the section on the refugee's family medical history. Include information about any familial health conditions that may be relevant.
07
Provide details of the refugee's current address, preferred language, and interpreter needs if applicable.
08
Finally, review the completed assessment template for accuracy and completeness. Make sure all sections have been filled out appropriately and double-check for any missing or incorrect information.
Who needs a refugee health assessment template?
01
Refugees who have recently arrived in a new country and are seeking healthcare services.
02
Healthcare providers and agencies responsible for documenting and assessing the health of refugees.
03
Refugee resettlement agencies and organizations involved in the care and support of refugees.
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What is refugee health assessment template?
Refugee health assessment template is a standardized form used to assess the health status of refugees upon arrival in a new country.
Who is required to file refugee health assessment template?
Healthcare providers, such as doctors and nurses, are required to file refugee health assessment template.
How to fill out refugee health assessment template?
To fill out the refugee health assessment template, healthcare providers must gather information about the refugee's medical history, conduct a physical examination, and document any findings.
What is the purpose of refugee health assessment template?
The purpose of the refugee health assessment template is to ensure that refugees receive appropriate medical care and support upon their arrival in a new country.
What information must be reported on refugee health assessment template?
Information such as medical history, current health status, vaccinations, and any necessary follow-up care must be reported on the refugee health assessment template.
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