test
CAUTION: This page needs to be reviewed and categorized.PRESENTING PROBLEM(S) [text name="Client's Name" default="sample text"] is a [text name="age" default="sample text"] year old [radio name="marital status" value="married|single|divorced|widowed"] [radio name="gender" value="female|male"] that presented for an [radio name="variable_1" value="initial|updated"] biopsychosocial assessment and treatment planning session. POLICIES AND PROCEDURES Confidentiality, client rights, privacy policy, and emergency contact numbers (crisis services, 9-1-1, and the nearest emergency department) were reviewed. RECOMMENDATIONS [checklist name="variable_1" value="Individual Psychotherapy|Psychiatric Services"] TREATMENT PLANNING The client participated in the development of the treatment plan and agreed to it. NEXT APPOINTMENT [text name="follow up date" default="sample text"] ADDITIONAL INFORMATION See initial biopsychosocial assessment, mental status exam, and diagnosis and treatment plan dated [date name="variable_1" default="01-04-2023"].
Result - Copy and paste this output:
Sandbox Metrics: Structured Data Index 0.63, 8 form elements, 74 boilerplate words, 3 text boxes, 1 dates, 1 check lists, 3 radio buttons, 9 total clicks
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