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Use this form to capture medical and patient information. Add or remove any fields as you need. You can easily push the data into any other 3rd party system you have in place. You can also post a QR code for this form to facilitate on-site data capture. You can easily change this template according to your needs and fully customize it. Integrating it with Salesforce is easy and allows you to read from SF as well as Write to SF.
Please follow these simple steps