Access Restricted

Please connect companion and verify email.

AI Scheduling Agent (v2.0.1)

A hybrid release combining local tools with cloud integration. Please ensure your local companion app is running before using OCR and advanced features.

Thank you for your feedback as we refine the platform.

Call Scheduler

Please verify all pre-populated fields extracted by OCR for accuracy before submitting.

Center Details

Center Name *

Please provide the center name.

Center Phone *

Please provide a valid center phone number.

Patient Details

First Name *

Please provide the patient's first name.

M. Name

Last Name *

Please provide the patient's last name.

Cell Phone

Home Phone

Work Phone

Address *

Please provide the patient's address.

Apt/Unit

Zip Code

City

State

Document Capture & Processing

Registration Form Processing

Process Patient Registration Form:

Click the capture button below
Select the registration form area on your screen
System will automatically extract and fill patient information

Pre-Screening Questionnaire Processing

Process Pre-Screening Form:

Click the capture button below
Select the pre-screening questionnaire area
System will process medical history and requirements
The system will flag any parent questions that were not captured by OCR.

Complete Form-Filling OCR first

Medical Details

Weight *

Please provide the patient's weight.

Height *

Please provide the patient's height.

Date of Birth *

Please provide the patient's date of birth.

Procedure Details

Add one or more procedures and their ICD-10 codes (e.g., L03.115). Click "Add Another Procedure" to include multiple procedures.

Insurance and Adjuster Details

Insurance Company *

Please provide the insurance company.

Chart Number

Date/Time of Injury

Referring Doctor's Information

Referring Doctor

Doctor's Phone

Doctor's Address

Doctor's Fax

Doctor's NPI Number

Please enter a valid 10-digit NPI number.

Scheduling Preferences

Select your available time slots by clicking and dragging on the grid below.

Weekly Availability

Legend: Selected = Available Timeslot

Ideal Dates and Times

Availability Summary

C2C's Contact Details

C2C's Phone Number

C2C's Fax Number

C2C's Email

C2C's Address

Access Restricted

AI Scheduling Agent (v2.0.1)

Call Scheduler

Available Services

Registration Form Processing

Extracted Information:

Pre-Screening Questionnaire Processing

Questionnaire Results:

Knowledge Base Status

Referring Doctor's Information

Component Error

Companion Error

Access Restricted

AI Scheduling Agent (v2.0.1)

Call Scheduler

Available Services

Registration Form Processing

Extracted Information:

Pre-Screening Questionnaire Processing

Questionnaire Results:

Knowledge Base Status

Referring Doctor's Information

Component Error