Rewording all the portions on the right that is blank and making the flow the same.
Identify if medical treatment was required as a directresult of the incident and provide details.
Identify if additional follow up treatments were necessary as a result of the incident and provide details. Additional Follow-up Document additional communications related to the incident after the date of the initial report and provide current status. Document actions taken to implement the action plan, if any. Indicate if not applicable.
