Add a New Encounter to an existing patient for a Device Bridge Tenant

Fill out the form below to create an additional encounter.

Tenant Short CodePatient Identifier (MRN, AN, Patient Identifier)

Patient ID:

First Name:

Last Name:

Middle Initial:

Date of Birth: Thu Dec 18 2025 14:07:06 GMT+0000 (Coordinated Universal Time)

MRN:

Account Number:

Patient Identifier:

Visit Number

Warning: You must log in above for the patient to also be submitted to CDR