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Creating a Hospital Diagnosis FormAsked by Bill Louth on January 27, 2015 at 08:52 AM
We're an IT firm. One of our customers is thinking of using an online form tool to create and populate a medical report.
It starts with a doctor entering patient symptoms by checking different boxes; numbness, tingling, pain, etc.
Checking boxes should add boilerplate legalese type text into the body of the final report.
Summary of the process:
Step 1) Enter patient information, check boxes for symptoms, add comments, etc.
Step 2) Report is generated based on the above selections
Step 3) Report is emailed
Can your product do that?
And do you have a phone number, even a paid service, to help us create the form?
Yes, JotForm can do all of that.
You can enter information in the input field, add comments using the text area and use check boxes for checklists.
Once the user submits the form, it will create a report based on the form fields and submission answers.
You can create a notifier so if someone fills up the form, you will receive it via email.
Please check this demo form.
We don't offer phone support. The best way to reach us is through this Support Forum where you can post questions and we will be gladly answering them with the best of our knowledge. Thank you for understanding.
Hope this helps. Thank you.
This is an old thread. Let me create a new thread for your inquiry. Here's the URL: http://www.jotform.com/answers/690881