The full intake form — about 80 fields, organized by section. Personal information at the top, then Chief Complaints, Mental Health History, Substance Abuse history, Occupational History. CareHub Intelligence summarized Sofia's narrative into structured fields, and on the right the original narrative she wrote sits beside it so the psychologist can verify nothing was lost in summarization.
What's clinically interesting is the workplace history — Sofia has been an EMT for six years, this is her second agency, no prior workers' comp claims, no prior mental health treatment. That clean prior history is exactly what makes the §3208.3 industrial determination defensible.