Neuro 911 Demo Test

Using HIPAA Compliant   updoxlogo   Secure Forms and Clinical Inbox

For testing only and NOT for live cases at this time.

Any physician can request care using a simple secure mobile web form

Message enters a queue that auto-notifies a team of specialists

Neurology TEST Request Forms

The Forms Below are for Testing Only

Neuro 911 Test Case Triage Form

Nurses..notify the specialty team that a case is ready to start

For acute stroke cases needing urgent evaluation because you believe there is a reasonable potential for TPA

Neuro 911 TEST… TPA High Probability

For when you need assistance promptly with a possible stroke, TIA, or other urgent neurologic assessment but think its unlikely that the patient will be a TPA candidate.

Neuro 911 TEST..Stroke but TPA NOT likely

Use this for cases that are likely not urgent medically but for which you would like a prompt response to evaluate

NON ACUTE Neurology Consult/Advice Request

This is an example with personal info removed of the form received in the Updox inbox

The clinicians who have access to the “message queue” are notified by SMS text

Whoever is available can respond, comment and others will know it was addressed

neuro911form