Capturing key information for initial intake, includes symptoms slider offering, multiple options and a multimedia option.
Below is an example of how the form looks embedded on a website. You are welcome to create a test report using this form to try it out!
Auto-translation ensures that all reports are translated into English, so your team doesn’t need to manage manual translations. If your county requires additional language support or custom handling, contact us.
This is an example of our form displayed in Spanish. You can create a test report with it to explore the process.
Simplified reporting, for initial intake. Includes a slider for choosing the environmental health concern, and a multimedia upload option.
Below is an example of our Environmental Health Report Form. This enables quick and easy reporting for issues such as mold, bed bugs, disease outbreaks, pool/spa problems, and hotel/motel concerns. You are welcome to create a test report using this form to try it out!
You will hear from us soon. If you have any questions please email us at support@dinesafe.org
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