Medical Office Form Processor
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Patient Information
Last Name*
First Name*
Sex
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Date of Birth
Patient ID
Current Appointment Date & Time
Reason for Current Visit
Date of Last Visit
Any Overdue Charges
Save Patient Info
Generate Printable Form
Medical Services
UV coating on glasses
Eye exam
Contact lens fitting
Retinal screening
Glaucoma testing
Frame selection/adjustment
AI Form Processing
Google Gemini API Key
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Upload Scanned Form
Process with AI
AI Extraction Results
Extracted Services
Extracted Notes
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Reprocess
Export Data
Export Current Patient
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Settings
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Patient Information Form
Medical Services
Additional Notes