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    FDAR Template

    Uploaded by

    Kaye Honeylee Manibog
    The document appears to be a form for recording a student's exposure and experience in a rural or underserved area (RLE). It includes fields for the student's name and details, patient information, and dates/times to log the student's focus, data collected, any actions taken, and the patient's response during the RLE exposure.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    FDAR Template

    Uploaded by

    Kaye Honeylee Manibog
    234 views2 pages
    The document appears to be a form for recording a student's exposure and experience in a rural or underserved area (RLE). It includes fields for the student's name and details, patient information, and dates/times to log the student's focus, data collected, any actions taken, and the patient's response during the RLE exposure.

    Original Title

    FDAR-template

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    The document appears to be a form for recording a student's exposure and experience in a rural or underserved area (RLE). It includes fields for the student's name and details, patient information, and dates/times to log the student's focus, data collected, any actions taken, and the patient's response during the RLE exposure.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    234 views2 pages

    FDAR Template

    Uploaded by

    Kaye Honeylee Manibog
    The document appears to be a form for recording a student's exposure and experience in a rural or underserved area (RLE). It includes fields for the student's name and details, patient information, and dates/times to log the student's focus, data collected, any actions taken, and the patient's response during the RLE exposure.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    General Santos Doctors’ Medical School Foundation, Inc.

    Bulaong Subd., Brgy. West, General Santos City, Philippines


    Telephone Nos. (083) 552-9793 | [email protected]

    NCM:_______RLE EXPOSURE
    AREA:_________________________ Inclusive Dates:_____________________

    Students Name:___________________
    Year and Section: ________________
    Group:_______________

    Patient:_______________ Attending Physician:________________________

    Age and Sex:__________ Diagnosis:__________________________________

    Chief Complaint:___________________________________

    Date/Time FOCUS DATA, ACTION, and


    RESPONSE

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