Intake packet I-4471

Avery Morgan

New patient consult10:30 AM slotPending readiness review
Consent missing
Scheduling holdSigned consent is missing. Schedule only when required administrative forms are complete.

Administrative evidence

✓
Referral document
Referral document is uploaded and available for the intake packet.
Uploaded
i
Insurance card
Insurance card image is present. Escalate only if eligibility remains uncertain.
Present
!
Signed consent
Required signed consent form is missing before scheduling.
Missing

Policy boundary

Scheduling and intake administration only. Do not diagnose, triage, or recommend treatment.