RCSWA Forms

Bush Babies Feedback Form

Important Notice

2025 Bush Babies Feedback

Session A: Esperance, Kununurra, Northam
Session B: Collie Derby, Narrogin

Date: 5th, 19th or 26th August

The Child with Difficulty Breathing
The Child with Fever
The Child with Abdominal Pain

Student Name:

Site:

History:

History of Presenting Complaint:

Developmental History:

Social History:

Comments:

Immunisations:

Examination:

Well	Unwell	Mild
Moderate	Severe	N/A
Done	Not Done

Growth:

Done: Weight
- Done: Centiles
Done: Length/Height
- Done: Centiles
Done: Head Circumference
- Done: Centiles

Observations:

Done
Not Done
Interpreted

Observation Comments:

Differential Diagnosis:

Comments:

Investigation:

Formulation:

Working Diagnosis:

Management:

Learning Points:

Global Comments:

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