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Patient Search

Patient Search. New and existing patients. Patient Search Results. SCI Inquiry. Existing patients. Registration Entry / Edit. Registration Case notes. Edit Duplicate. Patient Registration. Search Patient. Client Index Number:. unique. unique. Case Number:. Referral Tracking Number:.

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Patient Search

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  1. Patient Search New and existing patients Patient Search Results SCI Inquiry Existing patients Registration Entry / Edit Registration Case notes Edit Duplicate

  2. Patient Registration Search Patient Client Index Number: unique unique Case Number: Referral Tracking Number: unique Social Security Number: unique Patient Last Name: Partial search allowed First: Partial search allowed Based on legal county Primary Addressee Name: First: Legal County: Caseload Code: Date of Birth: mm/dd/yyyy Gender: Advanced Search Registration Status: Medical Record Nr: Registered to date : Registered from date : mm/dd/yyyy mm/dd/yyyy Registered By Search for existing patients Reset New Patient

  3. Patient Registration Search Patient Results Prev 1 2 3 4 5 Next Back New Patient Edit Patient Edit Duplicate Facesheet

  4. Patient Registration SCI Inquiry Patient Information Addressee Additional Information Summary App App Patient Name: Last First Middle Case Number: Display Display Last First Middle Birth Name: Current CIN: Date of Birth: Gender: mm/dd/yyyy SSN: 999 99 9999 Birth place: Ethnicity: Residence Zip: Residence County: Find 99999 9999 Mother’s First Name: Search SCI SCI Inquiry results SCI Last Updated On: 00/00/0000 Last Updated By: First Middle Last Previous Patient Back Add/Continue Link Reset Next Patient

  5. Patient Registration SCI Inquiry Patient Info Addressee Additional Information Summary Patient Header Add prior name to Alias Middle First Patient Name: Last App App App Case Number: Birth Name: Middle Display First Last Current CIN: Aliases: Add Alias Middle SSN: First Last 999 99 9999 Date of Birth: Gender: Pseudo SSN: mm/dd/yyyy 999 99 999X Ethnicity: Language: Birth place: Mom SSN: Mom First Name: Maiden Name: mm/dd/yyyy Mom Date of Birth: Mom Medi-Cal Nr Case transferring to another County: Registration Status: Effective Date: mm/dd/yyyy Current Referral Information Display Tracking Number : Display Referral Entered On : Display Referral Type: Referral Received On : Referral Status: mm/dd/yyyy Residence County: Referral Source : Provider / Plan Nr Find Legal County: Requestor / Provider / Plan Name Find Address Line 1: Phone: Address Line 2: Fax: City : Email: Find State: Display Display Zip: Continued on next page Correct Historical Referral New referral

  6. Caseload Temporary Caseload Type : Sheltered? Caseload Code : X Case Managers : Diagnosis Description: ICD Code: Find Patient / Primary Addressee Add Addressee Other Information HRIF? Chart Number : X SCI Last Updated On: 00/00/0000 Known to : CCS/GHPP Registered On: 00/00/0000 hh:mm am/pm Registered By: First Middle Last Last Updated On: 00/00/0000 hh:mm am/pm Last Updated By: First Middle Last Previous Patient Back Save MEDS Inquiry Reset Next Patient

  7. Patient Registration SCI Inquiry Patient Info Addressee Additional Information Summary Addressee Information for patient : Firstname middle Lastname Add Addressee Continued on next page

  8. Same screen as above (continuation) Addressee Information Copy From: Relation to patient: Addressee Type: Provider Number: Caregiver: Find Involuntary Placement: X X Provider Type: Specialty: Name: Find Attention: Medical Record Number: Address Line 1: Do not send mail: X Bad address: Address Line 2: X City: Find Zip: State: Email Address: Phone Notes: Phone(s): Last Updated On: 00/00/0000 hh:mm am/pm Last Updated By: First Middle Last Previous Patient Next Patient Back Save Reset

  9. Patient Registration SCI Inquiry Patient Info Addressee Additional Information Summary Additional Information for patient : Firstname middle Lastname Siblings Documentation Add Document Case note / Comments Subject: Number of characters left: 0 Last Updated On: 00/00/0000 hh:mm am/pm Last Updated By: First Middle Last Next Patient Previous Patient Back Save Reset

  10. Documentation Current selected patient : Firstname middle Lastname Document Document Type: Other Document: Received Date: Provider Address Continue

  11. Patient Registration SCI Inquiry Patient Info Addressee Additional Information Summary Summary for patient : Firstname middle Lastname Events mm/dd/yyyy mm/dd/yyyy Last Updated By: First Middle Last Last Updated On: 00/00/0000 hh:mm am/pm Previous Patient Back Next Patient

  12. Duplicate Patient Current selected patient : Firstname middle Lastname Correct Patient Last Updated By: First Middle Last Last Updated On: 00/00/0000 hh:mm am/pm Mark as Duplicate Back

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