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!
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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