truForm: v6 TruForm Form Updates

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Instructions below ONLY apply to truForm.

With MySecurePractice TruForm, you can choose to use our standard v6 TruForm option.  This form will be updated periodically by PBHS to ensure the most up-to-date information is added. For detailed information about what updates have been completed, please see below:

 Date
(month/year)
 Change Details Form(s) Updated

01/2021

Eaglesoft PBHS Standard Form Changes:

  • Increased medication fields from 14 to 20
  • Added Covid Questionnaire as page 1
  1. Eaglesoft

01/2021

Covid Questionnaire Changes:

  • added "Have you been vaccinated for COVID-19? yes/no question
  • added "If so, date of vaccination" text field
  • added "Date of booster" text field
  1. OMS
  2. GD/Endo/Perio
  3. Eaglesoft
  4. Canadian GP/Endo/Perio
  5. Covid

12/2020

Covid Questionnaire Changes:

  • added "in the past 14 days" to the end of the two questions below:
    • Have you been in contact with someone who has tested positive for COVID-19
    • Have you been tested for COVID-19
  1. OMS
  2. GD/Endo/Perio
  3. Eaglesoft
  4. Canadian GP/Endo/Perio
  5. Covid

9/2020

Medical History/Health History section:

  • COVID-19? added as a yes/no question
  1. OMS
  2. GD/Endo/Perio
  3. Eaglesoft
  4. Canadian GP/Endo/Perio
  5. Covid

06/2020

New Form Created:

  • Canadian Covid Questionnaire Standard Form
 

06/2020

Located at the top of each Standard form page:

  • Patient Name field added
  1. OMS
  2. GD/Endo/Perio

5/2020

New Form Created:

  • US Covid Questionnaire Standard Form
  1. Covid

04/2020

New Covid Page Added:

  • Added Covid questionnaire as the first page on all standard forms

 

  1. OMS
  2. GD/Endo/Perio
  3. Canadian GP/Endo/Perio

02/2020

Signatures - Authorization Section:

  • Question Added:

    I permit the office to communicate with me via text message on my cell phone.
  1. OMS
  2. GD/Endo/Perio
  3. Eaglesoft
  4. Canadian GP/Endo/Perio

 

02/2020

Medication - Are You Now Taking section:

  • Added Xgeva to Medication question below:

    Are you taking, or have you ever taken bone density meds, RANKL inhibitors or bisphosphonates such as Prolia, Fosamax, Boniva, Actonel, IV-Zometa, Aredia, Reclast, Xgeva, or Evista in the past 12 years?
  1. OMS
  2. GD/Endo/Perio

01/2020

New Form Created:

  • Eaglesoft Standard Form
  1. Eaglesoft

01/2019

Medical History/Health History section:

  • Question modification: A history of marijuana or other drug use
  • Question modification: Do you smoke or vape (if so, how much a day).
  1. OMS
  2. GD/Endo/Perio

01/2019

Patient Information section:

  • Question Added:  Preferred Pharmacy & Tel
  1. OMS
  2. GD/Endo/Perio

10/2018

Are You Now Taking section for Medication:

  • 2 part Question Added:
    • If you are under the care of a physician for pain management, or recovering from drug  addiction please select the medication you
      are currently taking:
      Methadone
      Suboxone
      Oxycodone
      Fentanyl
      Other
    • Treating doctor:
  1. OMS

 

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