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form automation software

A library of all the e-Forms we've created for the NHS across the UK

Change of Medication

Change of Treatment

e-Form that is sent to the patients' GP requesting a change of treatment for a patient following a hospital visit.

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Clinical Notes

Breast Care Nursing Admission

e-Form detailing investigations and treatment plan for breast care.

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Electronic Triage

Triage document utilised by Metastatic Spinal Cord Compression (MSCC) coordinators.

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Inflammatory Bowel Disease (IBD) Helpline

Record of calls taken via IBD Helpline.

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Lymphoedema Services

Lymphoedema services clinic record.

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NHS Near Me Blood Request form

Request form for phlebotomy to take place at local care centres near the patient as opposed to requiring a main hospital visit.

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Pre-Op Assessment

e-Form utilised in pre-operative assessment process.

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Record of Hospital Day Care

Record of a patient's day care. Records observations, vensection, therapeutic infusions, venflon, biologic therapies.

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Resucitation Record

Record of patient resucitation.

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Clinical Notes

Basic form used for recording clinical notes.

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Discharge Letter

Dental Paediatric GA Discharge

e-Form detailing paediatric dental procedure carried out under general anaesthetic. Form is distributed to patient's dental practice.

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Obstetric Anaesthesia

Obstetric anaesthesia record detailing operative delivery, epidural and any post-op symptoms.

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GP Letter

Dietetic Report

Form sent to GP detailing nutrition and diabetic management plan for a patient.

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End of Treatment Summary

Treatment summary following completion of cancer treatment.

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Minor Injury Unit

Record of attendance at Minor Injury Unit.

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Verification of Death and Death Notification Form

e-Form detailing checks to verify death, date and time of death and further details such as place of death and whether relatives have been informed. Utilised as initial notification to GP prior to completion of Medical Certification of Cause of Death (MCCD). Reporting also carried out on numbers of and data within this form.

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MDT Record

Colorectal Multidisciplinary Team (MDT)

Colorectal MDT process e-Form.

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Haematology MDT

Haematology MDT e-Form.

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Hepatocellular Carcinoma (HCC) MDT

HCC MDT e-Form.

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Hepatic Pancreato Biliary (HPB) MDT

HPB MDT e-Form.

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Inflammatory Bowel Disease (IBD) MDT

IBD MDT e-Form.

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Lung MDT

Lung MDT process e-Form.

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Other Gastro-intestinal (GI) MDT

Generic GI MDT e-Form.

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Pelvic Floor MDT

Pelvic floor MDT e-Form.

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Skin Cancer MDT

Skin cancer MDT process e-Form.

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Upper GI MDT

Upper GI MDT process e-Form.

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Urology MDT

Set of forms for use in urology MDT process.

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Patient Consent

Patient Consent

e-Form for operations across multiple specialties. Uses signature pad to capture patient's signature.

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Patient / GP Letter

Ambulatory Emergency Care

Document detailing investigations and treatment carried out at ambulatory emergency care.

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Pre-operative Diabetes Medication Recommendations

Instructions to a patient on changes to their diabetic medication schedule prior to surgery.

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Referral Letter

Acute Pain Referral

Referral letter to acute pain team for patients suffering from chronic pain.

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Community Team Referral Form

e-Form detailing referral to community care team. Includes reason for referral, current service usage, accommodation details, PMH and current risks and abilities.

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Dental Referral

Referral form completed by dentist in dental practice. Completed form routed through SCI Gateway into PMS and serves as a process for a dentist referring a patient into secondary care.

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Ophthalmology Referral

Set of five referral e-Forms for referral from optometrists into secondary care:

Ophthalmology Referral – Cataract

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Ophthalmology Referral – General

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Ophthalmology Referral – Glaucoma

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Ophthalmology Referral – Paediatric

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Ophthalmology Referral – Wet Age-related Macular Degeneration (AMD)

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Radiology Request

Radiological investigation request e-Form. Completed form is sent to the preferred site of radiological investigation.

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Referral to Investigation and Treatment

Referral form for referring patient to third space care.

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