Surgery Consult

[date]

[textarea default="Patient was referred to our office by    for evaluation of"][select name="Patient was referred to our office by for evaluation of" value="Biliary dyskinesia|Hemorrhoids|Inguinal hernia|Umbilical Hernia|Ventral Hernia|Hyperparathyroidism|Pilonidal Cyst|Lipoma|"]


Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.67, 3 form elements, 1 text areas, 1 dates, 1 drop downs, 3 total clicks
Questions/General site feedback · Help Ticket

Send Feedback for this SOAPnote

Your email address will not be published. Required fields are marked *

More SOAPnotes by this Author: