The following options are available:
Require Patient signature - With the checkbox selected, a patient signature is required to save the form. With the checkbox clear, a patient signature is not required to save the form.
Note: This checkbox is available only if your user account has the "Health History Form, Require Patient Signature" security right enabled.
What is the purpose of your visit to our office today? - Click in the Add description box, begin typing a description if you want to search for visit reasons that match what you type, select the checkbox of each visit reason that applies to the patient's visit, or select the None checkbox if a visit reason is not applicable.
Do you have a toothache now? - Select Yes or No.
With Yes selected, the following questions are available:
How long? - Select a number (1–6). From the Select time period list, select Days, Weeks, or Months.
What is your pain level today? - On a scale of 0–10, with 10 being the most painful, select a number.
How confident are you filling out medical forms by yourself? - Select Not At All, A little bit, Somewhat, Quite a bit, or Extremely.
Note: This question is available only if the Require patient signature checkbox is selected.