ACE ToolKit

The ACE Toolkit contains surveys, consent forms, training materials, and Epi Info ™ 7 databases that can be easily customized for use in an assessment after a chemical incident. The ACE team also provides training in conducting rapid epidemiologic assessments after chemical releases.

ACE Surveys — English

Eligibility Screener [DOC – 32 KB] | PDF [PDF – 127 KB]
Epi CASE Survey [DOC – 65 KB] | PDF [PDF – 204 KB]
Epi CASE Symptom Checker [DOC – 31 KB] | PDF [PDF – 105 KB]
Gen Survey [DOC – 310 KB] | PDF [PDF – 565 KB]
HH Survey [DOC – 116 KB] | PDF [PDF – 284 KB]
Hosp Survey [DOC – 95 KB] | PDF [PDF – 152 KB]
ACE Consent Forms [DOC – 73 KB] | PDF [PDF – 242 KB]

ACE Medical Chart Abstraction Forms

Medchart Abstraction Form [DOC – 44 KB] | PDF [PDF – 195 KB]

ACE Guides and Manuals

Request ACE Investigation Form [DOC – 50 KB] | PDF [PDF – 214 KB]
Decision Tree for ACE Investigations [DOC – 63 KB] | PDF [PDF – 86 KB]
Epi CASE Decision Support Tool [PDF – 569 KB]
Epi CASE Just-In-Time Training [DOC – 40 KB] | PDF [PDF – 324 KB]

ACE Epi Info 7 Databases

Email us for the Epi Info databases

Contact Information

To request information or assistance, call the ACE program at 404-567-3256 or e-mail ATSDRACE@cdc.gov. You can also contact the CDC Emergency Operations Center 24/7 at 770-488-7100 and ask to speak with someone from the ACE team. ACE is part of the National Toxic Substance Incidents Program (NTSIP), a federal program at the Agency for Toxic Substances and Disease Registry (ATSDR).