Clinical Notes

For information that should be included in the patient's documentation, but is not suitable for the documentation notes, a Clinical Note can be added.

• Go to the patient’s case
• Click the Clinical Notes button
• Any previously entered Clinical Notes will be listed and can be downloaded as PDF files.
• Click the New Clinical Note button to enter an additional note.

• Add a title for the note in the Subject line.
• Enter the Note text.
• If a clinician entered the note, the user PIN must be entered to electronically sign the note.
• Click Sign and Submit to save.

• To create a PDF file of the note, click the Download as PDF button

• From this tab, you can also edit or delete the Clinical Note as necessary