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AlignCare Physio & Rehab

Dashboard Patients Visits & Logs Billing Exercises Analytics Patient Portal

Dashboard Patients Visits & Clinical Logs Billing & Invoices Exercise Library Analytics 📱 Patient Mobile Portal

Patients Registry

Clinical records, contact details, diagnoses, and rehabilitation progress.

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Patient Intake Form

Record demographics and baseline clinical history.

1. Patient Demographics

Full Name *

Phone Number *

Age *

Gender

Status

Occupation / Lifestyle

Emergency Contact

2. Clinical Assessment & History

Clinical Diagnosis

Affected Side

Chief Complaint & Pain Areas

Medical & Surgical History

Rehabilitation Goals

AlignCare Physiotherapy & Rehab • Electronic Health Record System

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Add New Patient

Full Name *

Phone Number *

Age *

Gender

Occupation / Lifestyle

Emergency Contact

Clinical Diagnosis / Chief Complaint

Log Clinical Session

Select Patient *

Session Date *

Condition / Problem

Pain Before (0-10)

Pain After Session (0-10)

Treatment Modalities Applied

Clinical SOAP Notes *

Home Advice & Next Session