{% extends "layouts/base.html" %} {% load i18n %} {% load static %} {% block title %}{% trans "Create Inquiry" %} - {% trans "Call Center" %} - PX360{% endblock %} {% block extra_css %} {% endblock %} {% block content %}
{% trans "Call Center" %} {% trans "Create Inquiry" %}

{% trans "Create Inquiry" %}

{% trans "Create an inquiry on behalf of a patient or caller" %}

{% trans "Back to List" %}
{% csrf_token %}
{% trans "Caller Information" %}
{% trans "Search for an existing patient or enter contact details manually" %}
{% trans "Organization" %}
{% trans "Inquiry Details" %}
{% trans "Categories" %}

{% trans "Appointment:" %} {% trans "Scheduling, rescheduling, or cancellation" %}

{% trans "Billing:" %} {% trans "Payment questions or invoice requests" %}

{% trans "Medical Records:" %} {% trans "Record requests or updates" %}

{% trans "General:" %} {% trans "Hospital information or services" %}

{% trans "Call Center Note" %}
{% trans "This inquiry will be logged as received via Call Center. A call center interaction record will be automatically created for tracking purposes." %}
{% trans "Tips" %}

{% trans "Be clear and concise in the subject line" %}

{% trans "Include all relevant details in the message" %}

{% trans "Verify contact information for follow-up" %}

{% trans "Select the most appropriate category" %}

{% trans "Cancel" %}
{% endblock %} {% block extra_js %} {% endblock %}