Demo. Sample facility and sample patients. Try anything.

See it as
Start your free trial Sign in

Intake · Oct 10, 2026 2:30 PM · by Dana Brooks

Gloria Mitchell

Born Nov 2, 1950 · 402 Magnolia Ct, Pooler, GA

Allergies
Sulfa drugs
Primary diagnosis
Right hip replacement, recovery
Insurance
Medicare · Member 4TX8-PL2-RD19
Health conditions
High blood pressureArthritis
Past surgeries
Right hip replacement this month
Medicines taken at home (name and dose)
Amlodipine 5 mg daily
Walking and moving
Walker, weight bearing as tolerated
Lives with
Husband
Family members we may update
Robert Mitchell (husband)

Consent

  • I agree to receive care and services from this facility.
  • I received the notice of privacy practices.
  • Staff may take photos of wounds for my care record.
  • Staff may share updates about my care with the family members named below.
Signature of Gloria Mitchell

Signed by Gloria Mitchell (Self) on Oct 10, 2026 3:00 PM