Registration – Lookup Patient – CommunityMed Family Urgent Care

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HID Traffic Source

this variable shows where traffic came to this form from. Query string variable is checkinid

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DO WE NEED? HID Arrived

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

visit id passed to this form by booking

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HID Current Hour

hideme {current_hour}

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HID Current Minutes

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HID Decimal Time

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Today Date

captures the date of entry for use in calculations

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Tomorrow Date

captures the date of entry for use in calculations

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HID Pull Visit

this pulls the visit record written by booking based on the Visit ID

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TEST hidden flag from booking

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HIDDEN New Patient Flag from Booking

if 1, new patient, if 0 then existing patient

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HIDDEN Guid from BOOKING

This is the temp GUID written by booking into the visit record

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HIDDEN FLAG Test for ANY GUID

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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HIDDEN book record frm gravityform

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

First Last

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HIDDEN pat Phone

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HIDDEN Pat Email

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HIDDEN Pat DOB

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

I don't recognize any of the last 4 digits for phones on my account

For your security, Please enter FULL 10 digit phone number from the selection above

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St-1.5 P-1

Existing Patient FD Lookup

Enter patient cell number to lookup existing patients

Select Patient First name based on cell phone lookup

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HIDDEN Patient ID

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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HID PAT ID if numbers match

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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HID FLAG exist patient and confirmed

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

Save and finish later - Select this and then click "Next" button

CHECK HERE FOR QUICKREG

We will email the patient a link to pickup where you left off

Save booking and Send patient link to continue

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St-1.5 P-2