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I drafted a Patient Remake, Redo and Refund Form that needs to be translated into the Microsoft Forms. Org has HIPPAA and PHI protection in the ecosystem. . Currently in Jotform. Draft version needs streamlined based on answers. Importantly, data needs to be compiled on the back end to measure provider performance on financial impact. Automated email notices to providers who provided treatment originally, as well as approval/denial emails to submitting providers. See draft to get the idea... https://form.jotform.com/252726695998077