The code block below illustrates how one might use # and // as comments in your logic and calculations.
# Text can be put here to explain what the logic/calculation does and why.
if ([field1] = '1' and [field2] > 7,
// This comment can explain what the next line does.
[score] * [factor],
// Return '0' if the condition is False.
0
)
Working …
0% means
50% means
100% means
This value you provided is not a number. Please try again.
This value you provided is not an integer. Please try again.
The value entered is not a valid Vanderbilt Medical Record Number (i.e. 4- to 9-digit number, excluding leading zeros). Please try again.
The value you provided must be within the suggested range
The value you provided is outside the suggested range
This value is admissible, but you may wish to double check it.
The value entered must be a time value in the following format HH:MM within the range 00:00-23:59 (e.g., 04:32 or 23:19).
This field must be a 5 or 9 digit U.S. ZIP Code (like 94043). Please re-enter it now.
This field must be a 10 digit U.S. phone number (like 415 555 1212). Please re-enter it now.
This field must be a valid email address (like joe@user.com). Please re-enter it now.
The value you provided could not be validated because it does not follow the expected format. Please try again.
Required format:
xf3xhie7dxwFwtbUa4AKEPx28fhPm6yAEbChgrMcep9Jqk
Center for Surgical Health Referral Form
AAA
Thank you for referring your patient to the Center for Surgical Health! Please enter all required information and we will reach out to the patient within two business days.
The Center for Surgical Health is a surgical support program. CSH helps to connect underserved patients with an unaddressed, non-acute surgical diagnosis to attending surgeons at Penn Medicine. We provide navigation, education and empowerment services, support with access to insurance and high-quality surgical care, and referrals to additional social services.
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