| Patient Name | Bob Smith |
|---|---|
| Cell Phone Number | (555) 111-2222 |
| Consent |  I agree to receive text messages for this service. I understand that message rates may apply and accept any charges. |
| Status | Complete |
| I'm here to see | Haleh Rajaee, MD |
| Entry Date | August 31, 2020 |
| Covid Questions | Please answer the following questions. |
(540) 720-2126
