ChartOrdersNotesFormsResults
Brendon M. Petty DOB 07/14/1981 · MRN 00123456AB Encounter · Radiology Radiology
Facility: Northland
FormsHistory
4 forms · this encounter ✦ Junior inside SageEHR — SMART on FHIR
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Radiology encounters like this one usually need the Surgery Packet. RM Outpatient and the Notice are already here — the Anesthesia Consent is the only one missing. Prefill from this encounter is ready.

2 selected clear selection
Form name Status ▾ Last modified Archived •••
Surgical Consent
v3 · English · signed by patient + Dr. Romero · written back to chart
 Complete 07/03/26 11:30 Yes
RM Outpatient Registration
v7 · English · prefilled from encounter
 Ready — No
✎ Fill out
👁 View
🖨 Print
⭳ Download
▦ QR — transfer to device
◷ Activity history
🗑 Delete
Notice of Health Information Practices
v2 · English
 Ready — No
Fall-Risk Questionnaire
v2 · patient filling on their own device · page 2 of 4
 In progress 08/03/26 09:12 No
Columns: Form name · Status · Last modified · Archived — customize Completed forms archive per retention policy; they can be viewed, printed, downloaded — never deleted
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Junior · Brendon's forms
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Filling both selected forms together? Shared answers carry across — name, DOB, and address prefill once. Say the word and I'll open them on the patient monitor instead.
Ask, or hold to speak…
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