Patient> Patient Request

 

The above Title Bar is displayed when Patient Request is selected from the Left Side Navigation Bar.

There are two search options:

1.   In the [Select patient from VA master patient list] panel enter at least one of the following data:

SSN: Use one of the following formats:

123-45-6789 or 123456789

First Name: Enter the patients First Name, partial first name, or first initial.

Last Name: Enter the patients Last Name, partial name, or last initial.

Date of Birth: Use the following format mm/dd/yyyy (month/two digit day/year).

Search Results

The search results will display and may contain multiple patients records. The results are displayed in five columns for each row: Patient Number, SSN, First Name, Middle Name, Last Name, and Date of Birth.

Review the search results and click select to choose a patient. 

o   The Submit Request panel will display with the patient information.

o   Verify the patient information and click Submit Request or Cancel.

2.   In the [Manually enter patient request] panel click Continue without Selecting Patient to manually enter the patient information.

o   The Submit Request panel will display with blank fields.

o   Enter the patient information of the patient you are requesting.

o   Verify the patient information and click Submit Request or Cancel.

Clicking Submit Request will send the request to be examined and processed.

Click Search Again to return to the Patient Request search panel.

Clicking Cancel will return you to the Patient Request panel.