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Case notes
Create and use secure, online and medico-legal compliant case notes documenting your client’s treatment, injuries and illnesses.
Templates
Swift note creation
A requirement for every practitioner, which coreplus makes easy with unlimited case notes for your practice to cover every compliance scenario.
- Create, edit and delete templates per practitioner
- Add images, tables and font formatting
- Create shortcuts via a custom placeholder to apply to any case note, enabling a quick way to add long form text
Draft notes
Save for later
For those scenarios where you’re not quite finished, need to edit before committing to a completed treatment entry.
- Get back to where you left off by saving a draft note
- Resume from any draft note you’ve saved, just select and continue
- As a back up, you can rest assured with the auto-save feature on every current case note, so you never lose information
Body charts
Document injuries, illness and charts
Add detailed injuries, illnesses and body charts as part of a client’s clinical record, complementing your case notes.
- Create and manage custom categories for injuries and illnesses
- Add a summary or treatment note to each documented injury or illness
- Annotate the provided body chart, or personalise by adding your own images
Security
Compliance and confidentiality
- Adhere to medico-legal standards with an automated time and date stamp to every case note, and no delete or edit option to finalised notes
- Case notes, in fact all of your coreplus data is stored on encrypted servers
- Customisable user access, by default only the treating practitioner and account Supervisor can access a client’s case note
Even more Case Note features to love
Custom Data to capture information on your client
Practitioner administered multiple choice & score based, questionnaires
Collapsible, sortable case note history
Add medications to a client record
Add on boost: Medication information added via Patient Plus or Snapforms automatically uploads
Medico-legal compliant with time & date stamp
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