Tap anything to enlarge · ✚ hides (stays as you leave it)
Mailing Address *
📍
Doctor / PCP of record — all optional. 👤 picks a saved PCP (or saves the one typed here):
PCP Name
👤
PCP Address
Does the participant want to change their mailing address?
Does the participant want to change their Doctor/PCP?
Does the participant currently have another health insurance?
Does the participant currently have any active referrals/medical authorizations?
Has the participant received any medical care this month?Doctor visits, labs, X-rays or imaging, urgent care, a procedure, or a hospital or ER visit
Is the participant currently pregnant or have they recently given birth?
Tick as the representative confirms each item:
Call Summary
Delete this participant?
This permanently removes this participant’s saved record from this device — details, answers, checklists, timer, and notes. Export a CSV or JSON backup first if you need a copy. This cannot be undone.
Erase ALL data on this device?
This deletes every participant plus any custom facilities and saved PCPs from this browser, returning the app to a fresh install (the built-in presets come back). Save a Backup (JSON) first if you might need any of it. This cannot be undone.
Tap anywhere else to close
Participants
Call Summary opens the current participant's full write-up, with Copy / Save as Text / Print — it replaced the old Section 5. CSV opens in Excel: one row per participant, with timestamps. The JSON backup restores everything (participants, facilities, PCPs, quick replies) on any device. Both are plain local file downloads; nothing is uploaded. Delete a single participant with the 🗑 on their row above.
Settings
Preset addresses offered by every 📍 button — and listed in the hidden Section 0, where tapping one shows its address large.
Preset doctors offered by the 👤 button in Section 1 — picking one fills the whole PCP block at once (name, clinic, phone, NPI, address, medical group). Tip: type a PCP into Section 1 and choose “Save current…” from that picker to add them here.
Short phrases the participant can point at — or have read aloud — from Section 0. Keep them first-person and short enough to read across a table.