ACHS Census

⚠ Firebase not configured — running locally only.

ROOM	NAME	DOB	MRN #	DIAGNOSIS / PROCEDURE	PLAN	SCHED	THERAPY PLAN	NOTES	PHONE #	BOOKED WITH

📷 UPLOAD CONSULT SCREENSHOT

📋

TAP TO SELECT SCREENSHOT

Photo or screenshot of consult order

✏️ REVIEW & CONFIRM

HOSPITAL

ROOM

MRN #

PATIENT NAME (Last, First)

DATE OF BIRTH

SCHEDULED DATE

DIAGNOSIS / PROCEDURE

PLAN

THERAPY PLAN

ADDITIONAL NOTES

PHONE #

BOOKED WITH

Discharged patients — office reconciles with eCW chart creation

DATE D/C	HOSPITAL	ROOM	NAME	DOB	MRN #	DIAGNOSIS	ECW CHART	DATE CREATED	OFFICE NOTES