EPINet/Access downloadable report forms
Note: The forms below are in English and designed for use chiefly in
the United States. To access EPINet Needlestick and Blood and Body
Fluid Exposure Report forms in other languages, and/or designed for use
in other countries, please click
here.
SOI Needlestick and Sharp-Object Injury
Report form
BBF Blood and Body Fluid Exposure Report form
 PEF
Post-Exposure Follow-Up form
Notes about downloading EPINet forms:
- EPINet forms can be freely copied and distributed
for non-commercial use in healthcare facilities. The copyright
statement must be included on all forms.
- The downable forms on this page are in Adobe Acrobat format; Adobe
Acrobat Reader is necessary to view them. Click on the "Get
Acrobat Reader" button, below, and follow the instructions to obtain
the latest version from the Adobe Acrobat Reader website.
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