New Annual/New patient

Patient    presents    to    clinic    to    establish    care.    Patient    has    decided    to    establish    care    [text name    default="sample text"].    
[textarea default="Concerns"]
[textarea    default=    "PMH/Meds:"]
[textarea    default=    "PSH:"]
[textarea    default=    "Allergies:"]
[textarea    default=    "FH:"]
[textarea    default=    "SH:    Tobacco:    ETOH:    Drugs:    Occupation:    Family:"]
[textarea    default=    "Preventative    Care:    Prevnar (65): Flu: COVID: Shingles(50): Pap Smear: Mammography: Colonscopy: AAA Screening:    Annual Low Dose  CT:    Tdap:"]    
[comment memo="AAA screening 1x men 65-75 ever smoked. HepC 1x 18-79. HIV 1x 15-65. Low dose CT 50-80 w/ 20+ pack year + quit <15 yrs ago. Mammogram 50-74 every 2yrs. Osteoporosis 65. DM 35-70 IF overweight. Under 25 G/C, HPV (under 65), Tdap"]

[textarea    default=    "Plan:"]
Patient presents to clinic to establish care. Patient has decided to establish care .







AAA screening 1x men 65-75 ever smoked. HepC 1x 18-79. HIV 1x 15-65. Low dose CT 50-80 w/ 20+ pack year + quit <15 yrs ago. Mammogram 50-74 every 2yrs. Osteoporosis 65. DM 35-70 IF overweight. Under 25 G/C, HPV (under 65), Tdap

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 10 form elements, 13 boilerplate words, 1 text boxes, 8 text areas, 1 comments, 9 total clicks
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