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Incident/Accident Report - DIGITAL FORM

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$110.00
SKU: 3332E
$110.00

Electronically Delivered eForm* - Available Now – Subscribe Today!

The advantages of Briggs Digital on Demand forms:

Updates included with annual subscription

Form-fillable PDF documents at your fingertips

Easy to complete on any device; or print when you need them

No shipping charges or delivery delays

Never on back order

The Briggs Incident/Accident Report is used to record events of an incident or accident that involves a resident, employee, visitor or any other person within your facility/campus.

The Report provides prompts to ensure thorough documentation of the specifics of the incident/accident, what and who was involved as well as potential injury and resulting treatment. Data collected on this report is reviewed by the facility's Medical Director and the facility's Quality Assurance and Safety Committees. Once completed, the Report is retained in the Business Office - not the resident's medical record or personnel file.

Download a sample today! License Agreement

Send completed License Agreements toCustomerSupport@BriggsCorp.com

*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.


All Briggs Digital on Demand products require a credit card payment (or pre-payment) to receive digital files electronically.

Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.

Delivery: Digital*

Digital/electronic merchandise & subscriptions: all digital and electronic products and subscriptions are non-refundable and non-returnable.

*SUBSCRIPTION: Form access is licensed for 1-year per agency/facility location. Multiple sites require a quote. This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment) and provide the facility/agency address. After 1- year, your subscription will automatically renew.


All Briggs Digital on Demand products require a credit card payment (or pre-payment) to receive digital files electronically.

Briggs Healthcare does not allow use of any of its intellectual property without a valid license and payment of fees.

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