New patient form

Ticket ID:
890563ee6536896ec
Priority:
Critical
Topic:
Task
Status:
Open
First Name:
Felora
Last Name:
Mendes
Due:
02-16-2023 12:00
Updated Medical 1) when the forms comes in named as Medical History please rename to Updated Medical 2) Please add *asterisk to any please explain further detail areas 3)Patient type ( Adult Under Guardianship ) option to provide a name 4)remove *asterisk from work number 5)Do you have or have you ever had any heart or blood pressure problems?* drop box to explain 6) Have you ever had hepatitis, jaundice or liver disease?* drop box to explain or choose which one 7Have you ever been hospitalized for any illnesses or operations?* drop box to explain 8) remove i'm not a robot