Prompt | Response | Req | Len |
---|---|---|---|
Begin with Referral Source | Type the code you want to start with or leave the field blank to start with the first code in the table. | 5 | |
End with Referral Source | Type the code you want to end with or leave the field blank to end with the last code in the table. | 5 | |
Date to Begin | Type the date you want the report to start with or click the calendar icon to select a date. | ![]() |
10 |
Date to End | Type the date you want the report to end with or click the calendar icon to select a date. | ![]() |
10 |
Include Patient Address | If you want to include the address of the patients on the report, select this check box. | 1 |