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The content of the form is great but there is too much information to cram together on paper that the average patient could address in a legible way. This needs to be online for the patient to complete before the visit or reprinted in a user friendly manner than allows for written responses.
You are very welcome to use the content in any way you wish. It is overly complete by design and all of our patients must fill it out before we see them. Having an online version of it is a great idea - I hope you can incorporate it into your EMR! JJC
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