Summary Table

Categories	Total Count
PII	0
URL	0
DNS	0
EKL	0
IP	0
PORT	0
VsID	0
CF	0
AI	0
VPD	0
PL	0
Other	0

File Content

<h3 class="summary-header">Timeframe for Submission:</h3>
<p class="summary-text normal-text"><span class="emphasis">Start Date:</span> {{mediaRequest.startDate}} <span class="emphasis">End Date:</span> {{mediaRequest.endDate}}</p>

<h3 class="summary-header">Requesting Provider:</h3>
<p class="summary-text">{{mediaRequest.authorizingProvider.firstName}} {{mediaRequest.authorizingProvider.lastName}}</p>

<h3 class="summary-header">Purpose of Video:</h3>
<p class="summary-text">{{requestedMedia}}</p>

<h3 class="summary-header">Take a Video Of:</h3>
<p class="summary-text">{{mediaRequest.requestReason}}</p>

<h3 class="summary-header">Detailed Instructions:</h3>
<p class="summary-text">{{mediaRequest.patientInstructions}}</p>

<div ng-if="evaluation && evaluation.images.length>0 && evaluation.images[0]">
<h3 class="summary-header">Patient's Video Description:</h3>
<p class="summary-text">{{evaluation.images[0].imageDescription}}</p>
</div>

<div ng-if="mediaRequest.summaryNote && mediaRequest.reviewingProvider">
<h3 class="summary-header">Note from Provider:</h3>
<p class="summary-text">{{mediaRequest.summaryNote}}</p>
</div>