This program is a template for a standard Patient record disclosure agreement. Enter the fields into the boxes and select "Create" from the toolbar to create a form. NOTE: The form must be signed by the patient.

Freeware - Download PocketPC PatientRecords© Now!

To run these Pocket Visual Basic programs you need the free Microsoft Distribution Source Files located at




Click here to go to the Free Windows CE Software Website

(c)1998-2007 Vincent Collura ( Inventor / Engineer )


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