Coronavirus Disease (COVID-19) Case Report Form | NLM

Disaster Information Management Research Center | NLM

Coronavirus Disease (COVID-19) Case Report Form

02/19/2020 12:00 AM EST

Source: Public Health Agency of Canada (PHAC). Published: 2/19/2020. Healthcare professionals should refer to this five-page 2019 novel coronavirus (COVID-19) case report form to aid with the detection and reporting of COVID-19 in Canada. Its requests include case information, symptoms, pre-existing conditions and risk factors, exposures, and clinical evaluations, complications, and diagnoses. (PDF)