Create a new patient record and required clinic details.
First name is required
Last name is required
Date of birth is required
System will check for existing patients with matching name, DOB, phone, or email.
Patient agrees to receive appointment reminders and health notifications
Auto-generated. Click Edit to modify.
I consent to receive medical treatment and understand the risks and benefits.
I acknowledge receipt of the Notice of Privacy Practices.
I consent to receive communications via SMS and email for appointment reminders and health information.
I consent to telehealth services and understand the limitations.
I authorize the release of my medical information to designated parties.
• Patient record created by Dr. Sarah Chen
• Timestamp: --
• IP: 192.168.1.100
• Action: CREATE_PATIENT_RECORD
Schedule a welcome appointment after saving
Select additional team members
Create follow-up tasks for staff
Email patient portal credentials