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Medical intake & health history

Your health story, in one secure place.

One form per patient. It goes to your Green Healthcare coordinator and, if you choose, to your treating physician. Later, it becomes the start of your health record, so each check-up and blood pressure reading can be added to it.

About 15–25 minutes Sent securely, never published Skip anything you don’t know
Before you start
  1. Type “None” where it doesn’t apply and “Unknown” if you’re not sure.
  2. Have your medication bottles or list nearby.
  3. Clinicians: the Vital signs step records BP, pulse, oxygen, temperature, weight and more.
  4. Diagnosis and prescriptions are decided by a licensed clinician.

Your intake was received.

Thank you. Your Green Healthcare coordinator will review it and contact you by your preferred method.