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Can you generate an intake form for a patient displaying...

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Prompt

Can you generate an intake form for a patient displaying interest in [[TREATMENT/PROCEDURE]] that encompasses [[CURRENT SYMPTOMS]], [[PREVIOUS MEDICAL HISTORY]], and [[CONTACT INFORMATION]]?

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Notes

Tip: Section: Generating patient intake forms
Reference: From 100000-ai-prompts-by-contentifyai repository
Subcategory: Storytelling