{% extends 'base.html' %} {% load static %} {% block title %}Check In Patient{% endblock %} {% block content %}

Patient Check-In

Appointment Details

Patient:
{{ appointment.patient.first_name }} {{ appointment.patient.last_name }}
Patient ID:
{{ appointment.patient.patient_id }}
DOB:
{{ appointment.patient.date_of_birth|date:"M d, Y" }}
Phone:
{{ appointment.patient.phone_number|default:"Not provided" }}
Date:
{{ appointment.appointment_date|date:"M d, Y" }}
Time:
{{ appointment.appointment_time|time:"g:i A" }}
Provider:
{{ appointment.provider.first_name }} {{ appointment.provider.last_name }}
Department:
{{ appointment.department.name }}

Check-In Information

{% if messages %} {% for message in messages %} {% endfor %} {% endif %}
{% csrf_token %}
{% if form.checkin_time.errors %}
{{ form.checkin_time.errors.0 }}
{% endif %}
{% if form.checked_in_by.errors %}
{{ form.checked_in_by.errors.0 }}
{% endif %}
{% if form.waiting_area.errors %}
{{ form.waiting_area.errors.0 }}
{% endif %}
{% if form.checkin_notes.errors %}
{{ form.checkin_notes.errors.0 }}
{% endif %}
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Patient Information

Age:
{{ appointment.patient.age|default:"N/A" }}
Gender:
{{ appointment.patient.gender|default:"N/A" }}
Address:
{{ appointment.patient.address|default:"Not provided" }}
Emergency Contact:
{{ appointment.patient.emergency_contact|default:"Not provided" }}

Insurance Information

{% if appointment.patient.insurance_provider %}
Provider:
{{ appointment.patient.insurance_provider }}
Policy #:
{{ appointment.patient.insurance_policy_number }}
Group #:
{{ appointment.patient.insurance_group_number|default:"N/A" }}
{% else %}

No insurance information on file

{% endif %}

Patient Alerts

{% if appointment.patient.allergies %}
Allergies: {{ appointment.patient.allergies }}
{% endif %} {% if appointment.patient.medical_alerts %}
Medical Alerts: {{ appointment.patient.medical_alerts }}
{% endif %} {% if not appointment.patient.allergies and not appointment.patient.medical_alerts %}

No alerts on file

{% endif %}

Quick Actions

View Patient Profile Edit Appointment
{% endblock %} {% block js %} {% endblock %}