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🔒 No PHI collected. Patient name, DOB, PHN, and physician info are not entered here. The printed report has blank lines — staff fill those in by hand after printing.
📷 Upload Medication List Image
Upload a photo of the patient's medication list — PharmaNet printout, prescription bag, blister pack, or pill bottle labels. AI will extract every medication automatically.
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JPG · PNG · WEBP · HEIC  |  PharmaNet prints · prescription bags · blister packs
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🏥 Pharmacy Details (printed on report — not PHI)
✅ Clinical Need for Service (PharmaCare billing criteria)
MR-F Follow-up Reason (if applicable)
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💊 Current Medications
Verify all entries — drug name, strength, dose, indication, instructions. You are clinically responsible for accuracy before printing.
# Drug Name & Strength Dose / Frequency Indication Instructions Prescriber Verified
⚠️ Allergies & Adverse Reactions
🛑 Discontinued Medications (clinically relevant, if any)
Drug & Strength Indication Last Regimen Who Stopped It Reason
📝 Pharmacist Assessment
🔒 PHI reminder: The bordered box at the top of the report has blank lines only. Staff write patient name, DOB, PHN, and physician details by hand after printing.