CISM Network Ireland Template CISM Intervention Record

The Template CISM Intervention Record has been specifically designed to provide basic information for CISM personnel involved in delivering CISM interventions. This does not require detailed information on the consultation/intervention. The key information that should be collected, as recommended by CISM Network Ireland, is the date, time, and name of the individual(s) and/or if referral was requested. Please note that this document can be amended in line with the requirements of individual Network organisations. As per current HSA guidelines, this document should be retained for a number of years, not exceeding 10 years.
This record is available to download in the members area of the website. If you are not a member of the Network, please enter your details below to request a copy of this document from the Network.
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