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COVID Impact Survey F2/F3 v2 aims to collect valuable information about COVID vaccinations, infections, and hospitalizations of the UDS participants. Collecting this valuable data will be important in understanding the impact of COVID in the AD community.

ADRCs will need to provide information about local vaccine availability to participants that are interested. The CDC has provided this guidance for residents that are living in long-term care facilities.


Essential Documents

 

IVP Form

FVP Form

IVP DED

FVP DED

COVID-19 Impact Survey F2/F3 v2
This optional survey captures data on the impact COVID-19 has had on a participant including testing, course of illness, and medical consequences.

IVP form PDF
IVP form PDF
IVP DED CSV FVP DED CSV
 

REDCap Forms

ADRCs can upload an XML file to their own REDCap installation that will provide them with electronic versions of the forms, which can be used on iPads in waiting rooms, disseminated by email to participants, or used as clinician-filled forms.

Download REDCap XML filesopen_in_new

Data Collection and Submission

ADRCs should begin collection of COVID Impact data immediately. The COVID Impact Survey form should be administered at the annual visit or could be deployed between visits. The COVID Impact Survey is designed to capture new hospitalizations and outpatient treatments. We encourage you to adopt this new version. If the length of the form concerns you, please read the new COVID guidance document to learn more about adopting this new version.

  • The new system only accepts version 2 of COVID F2 and F3 forms (Form F1 is no longer accepted by NACC).
  • Multiple initial visit packets can be submitted for a participant (if they are already collected), but the newly released follow-up form should be used going forward.
  • FVP packet submission requires an existing IVP packet for the participant.
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