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CommunityMed Family Urgent Care –
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Registration – Lookup Patient

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this variable shows where traffic came to this form from. Query string variable is checkinid
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this variable is set to 4 when patient has arrived in the parking lot. the querystring variable is arvd. Default value is 0
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visit id passed to this form by booking
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hideme {current_hour}
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captures the date of entry for use in calculations
MM slash DD slash YYYY
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captures the date of entry for use in calculations
MM slash DD slash YYYY
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this pulls the visit record written by booking based on the Visit ID
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if 1, new patient, if 0 then existing patient
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This is the temp GUID written by booking into the visit record
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look in patient records for matching guid to temp guid from booking - return the patient ID if there is a match RETURNS PAT ID from lookup of patient db filtered by pat_guid is Hidden guid from booking
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this pulls in the basic patient demographics written in the booking record because it was not yet written to patient record
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HIDDEN Pat Name
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MM slash DD slash YYYY
The next step will be to capture your personal information and method of payment

We Found a Matching Patient Record

Go ahead through the phone number verification to verify your information.
The next step will be to capture your personal information and method of payment

Verify Patient Records

For verification - Please select associated last 4 digits of the phone number for your patient record
Please note it may be a spouses mobile number used if you don't see yours below. If duplicates, pick the last correct duplicate.

Please fill out other fields.

Click here if you DO NOT recognize any of the last 4 digits of phone numbers listed above
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Enter patient cell number to lookup existing patients
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IF THIS PATIENT is an existing patient, This is populated with the patient ID from MySQL from a historical patient lookup
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returns patient ID if the numbers match

Number Verification

The numbers do not match...

Please select "Previous" below and re-enter the full number again, or click on "I do not recognize the number" to proceed.

The numbers match - WELCOME BACK

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click next below to proceed

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returns a 1 if the hid patient id numbers match from the phone verification above, otherwise should be 0
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IF YOU WANT TO SAVE AND CONTINUE LATER - Select the checkbox below to save your work and finish later
We will email you a link to pickup where you left off
CHECK HERE FOR QUICKREG
We will email the patient a link to pickup where you left off
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