AllVaccines

Date of Establishment

Date of Establishment

Date of Birth

Date of Birth

Patient Height

Patient Height

Patient Weight

Patient Weight

Patient BMI

Patient BMI

Patient Blood Pressure

Patient Blood Pressure

Account Num

Account Num

GFR

GFR

FemaleMale

Visual Acuity

Visual Acuity

Dr. Olga

Dr. Olga

Time

Time

Lab

Lab

Time

Time

Choose provider type, then the provider:

Allergy & Immunology

Cardiology

Dermatology

Endocrinology

ENT

ENT & Allergy

Family Medicine

Gastroenterology

General Surgery

Gynecologic Oncology

OB-GYN

Hematology/Oncology

Hepatology

Interventional Cardiology

Liver/Digestive

Movement Disorders

Nephrology

Neurology

Neurosurgery

Oculoplastic Surgery

Ophthalmology

Orthopedic Surgery

Pain Management

Physical Medicine & Rehab.

Plastic Surgery

Podiatry

Pulmonology

Rheumatology

Urology

Choose screenings:

Diabetes

Lipid Panel

Colon/Cancer

Mammogram

DEXA Scan

Hepatitis C (1945-1965)

Lung Cancer (CT)

PAP smear

Vision/Glaucoma

Depression screening (PHQ-9)

Annual Wellness Exam

Choose diagnostics:

Diabetes

Lipid Panel

Mammogram

DEXA Scan

Vision/Glaucoma

functionals

Choose vaccines:

pneumococcal

Influenza

Tetanus

RSV

COVID-19

Shingles

Choose applicable conditions:

Hypertensive

Type 2 diabetes mellitus

Chronic kidney disease

Hyperlipidemia

Hypothyroidism

COPD

Osteoporosis

Primary Generalized (Osteo)Arthritis

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