Demographics
Full legal name, DOB, address, phone, email, emergency contact, and preferred contact method for scheduling and clinical notifications.
Completed New Patient Forms Augusta Oncology create a lawful record of patient identity, contact and insurance information, informed consent for oncology care, and HIPAA acknowledgements. They reduce administrative delays, support correct claims submission, and document consent for often-complex treatment plans.
Clear role separation improves accuracy, reduces denials, and speeds treatment start dates for oncology patients.
The patient or an authorized guardian completes personal data, medical history, insurance assignment, and signs informed consent and HIPAA authorizations; minors require parental or court-appointed guardian signatures.
Intake staff verify identity and documentation, witness signatures as required, and ensure all mandatory fields are present before routing the record to clinical and billing teams.
Full legal name, DOB, address, phone, email, emergency contact, and preferred contact method for scheduling and clinical notifications.
Primary/secondary carrier, subscriber name and DOB, policy numbers, assignment of benefits, and signature for billing authorization.
Current medications, allergies, past surgeries, cancer history, comorbidities, and treating physician contact information.
Procedure- and treatment-specific consent with risks, benefits, and alternatives described; dated signature required before treatment.
Acknowledgement of privacy practices and patient choices for disclosure, including any limited authorizations for family or research.
Space for advance directive status, health care proxy, and Do Not Resuscitate instructions where applicable.
| Field | Configuration |
|---|---|
| Authentication | Email + SMS code or multi-factor for new patients |
| Required Fields | Demographics, DOB, insurance, HIPAA signature required |
| Conditional Fields | Show treatment consent only if therapy scheduled |
| Audit Trail | Enable IP, timestamp, and action logs |
Verify platform compatibility with EHR, retention policies, and HIPAA Business Associate Agreement requirements before e-submission.
| signNow | DocuSign | Adobe Sign | PandaDoc | HelloSign | |
|---|---|---|---|---|---|
| Starting Price | $8/user/mo | $15/user/mo | $14/user/mo | $19/user/mo | $15/user/mo |
| Free Trial | 7-day free trial | Varies | Varies | Varies | Varies |
| Bulk Send | Yes, no envelope cap | Yes, 100 env/user/yr cap | Yes | Yes | No |
| Audit Trail | Yes | Yes | Yes | Yes | Yes |
| HIPAA Compliant | Yes (BAA) | Yes (BAA) | Yes | No | No |
A newly referred oncology patient completes intake online
A patient signs a limited HIPAA release for caregiver access
Intake, consent, and HIPAA acknowledgements must be completed prior to administering therapy
Verify eligibility and pre-authorization before scheduling procedures that require prior approval
Confirm demographics and insurance at least once per year
Start retention clock from creation or last effective date per HIPAA rules
In emergencies, obtain retroactive signatures as soon as practicable