<%= iconText %>

<%= requestServiceName %>

Ordering Provider:

<%= orderingProviderName %>
Consulting Provider:

<%= consultingProviderName %>
Provisional Diagnosis

<%= provisionalDiagnosis %>
Status

<%= status %>
Inpat/Outpat

<%=inOutpatientCare%>
Place of Consult

<%=placeOfConsultation%>
Urgency

<%=urgency%>
Date Submitted:

<%= formatDate(createdDate) %>
<% if (daysOnList >= 37) { %>
Your record indicates that your visit for this consult was not completed within the target timeframe. Contact the facility if you have not been notified about your appointment. Please disregard this warning If your appointment has occurred.
<% } else if (daysOnList >= 7) { %>
Contact the Ordering Provider and inform her/him that the original appointment has not been booked within 7 days.
<% } %>