1. Conversion/Editing/Revision of Patient Registration forms Created by: William H. Harmon (not officially presented) COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.comwww.CRSSNY.com 1100 Franklin Ave., Suite 203 Garden City, NY 11530 Tel: (516) 24S-2422 Fax: (516) 248-5162 226 N. Belle Mead Rd., East Setauket, NY 11733 Tel: (631) 675-0588 Fax: (516) 520-1125

2. Objective: COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com Brief overview of the process of updating the following forms: Page 2 of 12  Patient Registration – 2 pages  Medical History – 3 pages

3. Step 1: Find the existing document files COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com What format are they in? Hardcopy, word- processing, spreadsheet, Portable document format “pdf”, other Determine if this is an editable file, In other words can we make changes directly to the contents of the file. Page 3 of 12

4. COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com Had to convert the files such that they could be edited. Used a file conversion program. Page 4 of 12 E xisting documents were in “pdf” format

5. COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com The file “ patient registration page 1 of 2.pdf This is the existing form company now using. Page 5 of 12 Step 2: Example file to be converted Original form

6. COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com The file has now been made editable and can now be opened in an application so changes can be made. Page 6 of 12 Step 3: File is converted and made editable. However, the file has displaced text and format. Things are not aligned. A bit scrambled. Original form

7. COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com With the use of a software application program, i.e. “Microsoft WORD”, file is edited/revised. Page 7 of 12 Step 4: Converted file imported into a word- processing program. * In some cases this can take some time. But may still same time in the long run. Original form edited & reformatted

8. COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com Page 8 of 12 Step 4: Cont.’ Files Comparison BEFOREAFTER

9. COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com Content is neatly formatted & organized. Clarity of text. Easily read and understandable by patient. Page 9 of 12 Finished file.

10. COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com It’s important to note that there were cases where I had to completely retype text and recreate the tables. Page 10 of 12 In Conclusion:

11. COLON & RECTAL SURGICAL SPECIALISTS OF NEW YORK www.CRSSNY.com www.CRSSNY.com I hope you found this brief presentation interesting and informative. Page 11 of 12 For a more detailed look into this process, feel free to contact me.

12. Written and Created by : Instructional Technology Engineer : Graphics by : William Harmon Credits

13. The End