Scan BarcodeCODE-128 · CODE-39 · CODE-93 · CODABAR
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Camera CapturePhoto

Submitting to Pulsara

Creating channel…

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Community Registration

Texas community response · Powered by Pulsara

This session expires soon. Contact your incident commander for a new QR code.

Registration Timestamp

Date—
Time (Local)—
UTC / ISO 8601—

Wristband ID

Demographics

Tap the button: name, DOB, age, phone, gender
Tap Rec to begin
Scan owner's wristband to link this record.
Preferred over age.
Enter if DOB unknown.

Address

Tap the button: street, city, region, postal code, country
Tap Rec to begin

Photos

No photos added yet. Photos are optional.

Additional Information

Tap the button: speak your notes
Tap Rec to begin
0
Max 255 characters.
Community Registration Privacy Policy Terms of Service

Public Forms

Created Forms

Rows per page
Showing 0 of 0

Form Mode

Select the type of form to deploy.

Session Token Settings

Configure the scoped session token that will be embedded in the QR code. The token is stored server-side — only an opaque ID goes in the QR URL.

How long this QR code remains active.
Maximum registrations allowed on this token.
Which Pulsara Public API environment receives submissions.
Audit trail — who generated this token.
Uncheck to restrict what can be registered on this token.
Registrant must solve a quick math question before their first submission. One answer unlocks the entire session — no re-challenge between patients.
PAPI only
This deployment sends registrations only through the Pulsara Public API using a server-held x-api-key.
PAPI Configuration — Pulsara External API
Choose one of the server-managed PAPI keys from Secret Manager. Raw API keys are not stored in the browser or Firestore.
This is required for PAPI sessions. EMS entity API keys usually use INBOUND_EMS. Hospital entity API keys usually use ED_PATIENT or IN_PATIENT.
Case type ESF6. All submissions on this session use the Pulsara Public API (PAPI v1).

Incident Setup & QR Code

Public Form URL

Create a reusable public URL for this form. It uses the incident, collection point, and PAPI settings above, then creates the backing session token and QR in one step.

Public URL https://txcommunity.org/00000000-0000-4000-8000-000000000000

Activity Log

Ready. Configure a PAPI session to begin.