Secondary Navigation
Smart Electronic Medical Records
Main Navigation
Click on any section to select it then click on the edit button to the right
Add your own practice name , address and phone number
In the Enrollment section on page 2 update the form with your PHO name
In the Settings , remember to set your email address to receive the submitted form
Publish the form when completed
Copy the link to share and add this to your website or emails
Copy the patients details (highlight and press Ctl_C)
Get Details from the JotForms Site
Log into JotForms
Select the enrolment form, Go To the Inbox (on the right)
Select the Patient’s submission
Copy the patient details (highlight the text from ‘Name’ to the end of the form and Press CTL+C)