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truForm: Standard Form Updates

With MySecurePractice TruForm, you can choose to use our standard v6 TruForm option.  This form will be updated periodically by PBHS to ensure the most up-to-date information is added. For detailed information about what updates have been completed, please see below:

 Date
(month/year)		  Change Details Form(s) Updated

02/2022

Health History Section.

Question Updates for the following:

  1. Org. Question:  Do you have an alcohol use disorder?
    • Updated to:  Is there a history / treatment for an alcohol use disorder?
  2. Org. Question:  Do you have a substance use disorder?
    • Updated to:  Is there a history / treatment for a marijuana or substance use disorder?
  1. OMS
  2. GD/Endo/Perio
  3. Eaglesoft
  4. HH Update
  5. Canadian GP/Endo/Perio
  6. Spanish OMS
  7. Spanish GD/Endo/Perio
  8. Spanish HH Update

01/2021

Eaglesoft PBHS Standard Form Changes:

  • Increased medication fields from 14 to 20
  • Added Covid Questionnaire as page 1
  1. Eaglesoft

01/2021

Covid Questionnaire Changes:

  • added "Have you been vaccinated for COVID-19? yes/no question
  • added "If so, date of vaccination" text field
  • added "Date of booster" text field
  1. OMS
  2. GD/Endo/Perio
  3. Eaglesoft
  4. Canadian GP/Endo/Perio
  5. Covid

12/2020

Covid Questionnaire Changes:

  • added "in the past 14 days" to the end of the two questions below:
    • Have you been in contact with someone who has tested positive for COVID-19
    • Have you been tested for COVID-19
  1. OMS
  2. GD/Endo/Perio
  3. Eaglesoft
  4. Canadian GP/Endo/Perio
  5. Covid

9/2020

Medical History/Health History section:

  • COVID-19? added as a yes/no question
  1. OMS
  2. GD/Endo/Perio
  3. Eaglesoft
  4. Canadian GP/Endo/Perio
  5. Covid

06/2020

New Form Created:

  • Canadian Covid Questionnaire Standard Form
  

06/2020

Located at the top of each Standard form page:

  • Patient Name field added
  1. OMS
  2. GD/Endo/Perio

5/2020

New Form Created:

  • US Covid Questionnaire Standard Form
  1. Covid

04/2020

New Covid Page Added:

  • Added Covid questionnaire as the first page on all standard forms

 
  1. OMS
  2. GD/Endo/Perio
  3. Canadian GP/Endo/Perio

02/2020

Signatures - Authorization Section:

  • Question Added:

    I permit the office to communicate with me via text message on my cell phone.
  1. OMS
  2. GD/Endo/Perio
  3. Eaglesoft
  4. Canadian GP/Endo/Perio

 

02/2020

Medication - Are You Now Taking section:

  • Added Xgeva to Medication question below:

    Are you taking, or have you ever taken bone density meds, RANKL inhibitors or bisphosphonates such as Prolia, Fosamax, Boniva, Actonel, IV-Zometa, Aredia, Reclast, Xgeva, or Evista in the past 12 years?
  1. OMS
  2. GD/Endo/Perio

01/2020

New Form Created:

  • Eaglesoft Standard Form
  1. Eaglesoft

01/2019

Medical History/Health History section:

  • Question modification: A history of marijuana or other drug use
  • Question modification: Do you smoke or vape (if so, how much a day).
  1. OMS
  2. GD/Endo/Perio

01/2019

Patient Information section:

  • Question Added:  Preferred Pharmacy & Tel
  1. OMS
  2. GD/Endo/Perio

10/2018

Are You Now Taking section for Medication:

  • 2 part Question Added:
    • If you are under the care of a physician for pain management, or recovering from drug  addiction please select the medication you
      are currently taking:
      Methadone
      Suboxone
      Oxycodone
      Fentanyl
      Other
    • Treating doctor:
  1. OMS