Specify Referral Site:
Rx list (current meds - compact - one line)
Rx list (current meds - generic names - line breaks)
Rx history
View the free-text "Other Meds" field in E-Chart
"Allergies"
"Medical History"
"Ongoing Concerns"
"Reminders"
"Social History"
"Disease Registry entries"
Note:
Click on the accordion boxes above to view sections of the patient E-Chart, then copy & paste into form as needed.
Please also note that any text input into the drawers above does NOT save to E-chart on form submit. Any edits to history content should be made directly in the E-chart instead.