Ebola in America: ADA Recommends Travel Questionnaire

The ADA Division of Science advises dental professionals to request a travel history from their patients with symptoms or signs in which a Ebola infection is suspected.

We created short YAPI Travel Questionnaire that includes three questions that ADA recommends to ask.

IMG_0007

If a patient answers No then he/she will need only to sign the questionnaire.

IMG_0009

Otherwise YAPI will require to answer two more questions

IMG_0010

If you would like to use this form in your practice, please click here to download. To install please follow instruction found here. Note that you can add this questionnaire to any existing package,  add to a dynamic package, or use as a standalone form.