Virtual Jennifer

Practice manager for Dr. Chughtai

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Consent Agreement

Welcome to the Virtual Clinical Assistant.

I will take your history regarding a symptom for presenting it to the doctor. The live conversation will be deleted once its completed.

Please proceed if you agree.

Data Privacy Policy, can be viewed here.

Summary Report

Type of the Accident

Circumstances of the Accident

Description of the Accident

Action Taken Soon After the Accident

Impact on Work

Impact on Home Routine

Impact on Social Life

Any Prior Accidents

Any Accidents After the Index Accident

Known Medical Conditions

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