New enrollment

Patient intake sheet

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Demographics

Identifying details for the chart and patient app login.

Diabetes history

Drives baseline risk weighting in the SoleGuard model.

Foot-risk history

IWGDF risk-stratification factors. Each Yes raises baseline ulcer risk.

Prior ulcer
Prior amputation
Peripheral neuropathy
Peripheral vascular disease
Current smoker

Baseline scan (optional)

If you ran a pad scan in clinic today, log it as the first reading.

Care team & consent

Required before the chart can be created or data shared with the EHR.