Patient Education**

Basics:
[checkbox name="Field_1" value="new patient rights and expectations|preventative cares|follow up care|referrals"]
Results:
[checkbox name="Field_2" value="lab results|radiology results|procedure results"]
Diet:
[checkbox name="Field_3" value="heart healthy diet|DASH diet|Diabetic diet| diet for weight control"]
Medications:
[checkbox name="Field_4" value="HTN medications|cholesterol controling meds |antibiotic|use and side effects|using supplements and alternative medicines |calcium and vit D for osteoporosis|using OTC medications|medication agreements for controlled substance|weight based dose for child"]
Diabetic:
[checkbox name="Field_5" value="Diabetic foot exam|A1C goals|glucose monitoring|diabetic diet|diabetic eye exam|benefits of weight loss with diabetes"]
Sleep Apnea:
[checkbox name="Field_6" value="c-pap compliance|cleaning of equiptment|health risks of noncompliance"]
Counseling:
[checkbox name="Field_7" value="safe sex practices|STD prevention|smoking cessation|limiting alcohol use|maintaining a healthy weight|preventative cares"]
Child Wellness:
[checkbox name="Field_8" value="Immunizations|Diet|Safety (bike helmets, sunscreen)|Growth and Development"]
Self-Care:
[checkbox name="Field_9" value="home cough and cold remedies|Healthy sleep hygeine|pain relief at home|daily exercise|staying in touch with mental health|staying mentally active"]
Things:
[checkbox name="Field_10" value="anemia workup and POC|Headache causes and prevention|viral vs bacterial infection|B/P home monitoring"]
Procedure/ Surgery/ Wound:
[checkbox name="Field_11" value="preoperative evaluation|Surgery/Procedure Risks vs benefits|post operative complication prevention|Wound Care"]
Pain:
[checkbox name="Field_12" value="Pain control|nonpharmacological pain relief|pain medications"]
Basics:

Results:

Diet:

Medications:

Diabetic:

Sleep Apnea:

Counseling:

Child Wellness:

Self-Care:

Things:

Procedure/ Surgery/ Wound:

Pain:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 1, 12 form elements, 16 boilerplate words, 12 checkboxes, 56 total clicks
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