Individual and Emergency Data Forms

Individual Data Form (IDF)

The Individual Data Form (IDF) collects personal, contact, medical and insurance information of an individual and maintains it in one easily accessible location. Using the IDF, staff members can maintain essential information such as admission date, program enrollment date, race, religion, SSN, Medicare and Medicaid numbers.

When entering medical information in the IDF users can easily refer to a list of ICD9 and DSM IV codes and select the medical diagnoses that apply to an individual. Users can also look-up from a medical contact list to specify the individual’s physician, dentist, hospital and pharmacy.

Information on the IDF can be updated by users who have been assigned appropriate privileges. When an IDF has been approved, a copy of the information previously entered appears below each of the fields. Thus, when the IDF is being updated users can see what information is being updated against the already approved information.

Emergency Data Form (EDF)

A subset of the information on an IDF is used to automatically generate an Emergency Data Form (EDF). When an IDF is approved, data is automatically extracted and placed in the EDF for an individual. With the proper authorization, users will be able to view an EDF and track whether the latest EDF for an individual has been printed.