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Manage patient records

The Patients section is your practice's contact list and, for healthcare practices, the front door to each chart. Search by name, phone, or email; filter by status (Active, Prospective, Inactive, New this month, Discharged) and, in a group practice, by provider, including No provider yet; choose which columns show with Columns. Add patients by hand or import them from a CSV, a SoftDent PDF, or a SimplePractice export. Share documents sends one set of forms to many clients through the Client Portal in four steps. The full profile has tabs for Overview, Notes, Messages, Billing, Payments, Documents, and Records. Households group family members. Real patient records are archived, not deleted; owners and admins can permanently delete only records with nothing on them.

Updated October 24, 20267 min read

Every person your practice talks to has a record here. Open Patients in the left navigation (the label follows your practice type: Patients, Clients, or Pet Parents).

The list

  • Search by name, phone, or email.
  • Filter by status with the dropdown on the left: All, Active, Prospective, Inactive, New this month, and Discharged, each with its count. Sort by recently added, oldest, last name, client since, last visit, or recently updated.
  • Provider filter (practices with two or more providers): All providers, My clients (your own, when you are a provider), each provider by name, or No provider yet for clients with no primary provider. The labels follow your terminology.
  • Columns picks which columns show: Relationship (their provider, the children they are a parent for, and portal access), Date of birth, Client since, Last visit, Last updated, Next appointment (or a Book link), and Status. All but Last updated show to start; your browser remembers the choice. The name column always shows, with phone, email, a household tag, and an athenahealth mark when linked.
  • Row actions (the ⋯ at the end of a row): Quick view, Open full profile, Book appointment, and, for owners and admins, Delete permanently….
  • Tick rows for bulk actions: Add to campaign (when campaigns are on for your account), Mark active, Mark inactive, and in the ⋯ menu Export selected, Archive N patients… and, for owners and admins, Delete N patients permanently…. Ticks on other pages of the list count too.

The ⋯ menu at the top of the page holds Export CSV, Import CSV, Import from SoftDent (when SoftDent is enabled for the location under Settings → Integrations; upload a printed SoftDent report as a PDF, review the extracted patients, import), and Import from SimplePractice (when SimplePractice is enabled under Settings → Integrations; upload the SimplePractice export, review how each client matches and which provider each clinician maps to, import; see Import from SimplePractice).

Add patient (the button follows your terminology) opens the Create client drawer: name, date of birth (which sets adult or minor), a parent, guardian or guarantor, billing type, status, contact details with their permissions, and reminder options. See Add a client from anywhere.

Share documents with many clients

Share documents at the top of the Patients page sends one set of documents to many clients at once through the Client Portal. It opens full screen, starting with any clients you ticked in the list.

  1. Select recipients. Search and tick clients. Each needs an email, since documents go to their Client Portal; clients without one, and archived clients, can't be picked. The list shows whether each has Signed in before or is Not signed in yet.
  2. Select documents. Tick any mix of Consent documents, Questionnaires, Scored measures and Files.
  3. Compose email. Edit the Subject and Email message. The fill-ins {client_first_name}, {practice_name}, {document_list} and {portal_link} are filled in for each client, so everyone gets their own email.
  4. Review and share. Check the recipients, the email as the first client sees it, and the documents. It says who will be skipped: clients who already have everything you picked waiting, have no email, are marked do-not-contact or don't allow email, or are archived or discharged. Switch on Also send a text where the client allows it if you want, then click Share with N clients.

The last screen says how many it went to, lists anyone not reached and why (open their chart and use Send documents to try one at a time), and notes texts that wait until 8am the client's time. One share reaches up to 500 clients and sends up to 200 at a time; when there are more, it says how many are left and you share again. Nothing can be shared while the Client Portal is turned off (Settings → Client Portal). For one client, use Send documents on their chart; see Send documents to a client.

Quick view and the full profile

Clicking a row opens the full profile. Quick view in a row's menu opens a drawer instead, with Overview, Payments and Billing (when the location takes payments), Medications (athena-linked patients), Forms, and Notes, plus quick actions: send a message, call, edit, create or manage a household, copy the patient ID.

The full profile (or View full profile in the drawer's menu) shows everything on tabs:

TabWhat is there
OverviewThe administrative note, next-appointment banner (Mark confirmed, Reschedule), activity, appointments with Manage upcoming, staff notes, billing summary, patient info, How to reach them, contacts, clinical (diagnoses, allergies and medications), insurance, household and portal access.
NotesThe clinical workspace: notes, the treatment plan, and outcome measures. See Write and sign clinical notes.
MessagesThe conversation with this patient, texts and secure messages.
BillingThe billing profile, guarantor, charges, invoices, and superbills. See The client billing profile.
PaymentsPayments, pay-link requests, new invoices, credit on account, and payment plans (shown when the location takes payments). See Take patient payments.
DocumentsPortal requests (one Send documents button), Client files (every file on the chart, grouped by kind, with search and source filters; View opens a preview panel), form submissions, and the information captured from forms.
RecordsDischarge, releases of information, chart export, and the accounting of disclosures. See Discharge and records release.

The profile header shows the next visit, last visit, provider and balance, with Call, Message, Ask and Book. Its ⋯ menu has Edit profile, Upload photo, Clinical notes, Send documents, Discharge client, Email portal invitation and Grant portal access (copy link) (the portal items only when the Client Portal is on). For a card-by-card tour, see Find your way around a client chart.

Share a file with a client

Open the profile, then Documents, and in Client files choose Upload a file. Chart uploads accept images (JPEG, PNG, GIF, WebP), PDF, Word (.doc, .docx) and plain text, up to 15MB. Give it a name, a category (insurance, referral, records, ID, other) and a note if you like, and tick Make this visible to the client in their portal to share it. The row then carries a blue Visible to client tag, and the client finds it in the portal under Documents → Uploaded files with View and Download. Leave the box unticked and the file stays private to staff: it is not listed in the portal and cannot be reached there by link. Delete removes a staff upload from the chart and the portal. If a shared file is not showing for the client, see A client can't see a document in the portal.

Each file in Client files is tagged by where it came from: Uploaded by staff, Intake form (captured through an intake form, such as an insurance card photo or an ID; the client can see these by default), or Imported from SimplePractice (brought in by an import; private to staff). Use the chips to show one source at a time, or search by name. Files are grouped by kind, such as forms and consents, insurance and IDs, invoices, statements and superbills. View opens the file in a preview panel beside the chart, with Open in new tab and Download; the small download button saves it directly.

Households

A household groups family members. From a patient's quick-view menu choose Create household, then Create new household (named "{Last name} Family" by default, with this patient as head) or Join existing household; once they are in one, the menu says Manage household. Each member's profile shows the Household card with everyone in it, the head marked with a crown, and their relationship. When booking a group session, Add household members adds the rest of the family in one click. Households are per location.

Archive, discharge, or delete

  • Inactive hides a patient from the default views while keeping everything; Mark active brings them back.
  • Discharge (healthcare practices) ends care properly: the plan closes, measure schedules stop, and the patient moves under the Discharged filter. See Discharge and records release.
  • Delete permanently is for test or duplicate records, owners and admins only: Delete permanently… in a row's menu, or tick several and choose Delete N patients permanently… from the ⋯ menu. It only works for a patient with no records: no notes, treatment plans, answered questionnaires, completed forms, records releases, invoices, charges, payments or balance. When you delete several, anyone with records is kept and a list says why, for example "This client has 3 notes and 1 invoice. Archive the client instead." It cannot be undone. Real patient records must be retained under record-retention laws; archive those instead.

Good to know

  • A phone can carry an extension or a second number: type it after the number in the patient's phone box, for example (555) 201-3344 ext 12. It shows as the number, then the extension ((555) 201-3344 ext. 12), and texts and calls go to the number itself (the first one when there are two). Imports from a CSV, SimplePractice and Practice Fusion keep an extension the same way.
  • New arrivals and where they came from are tracked on Review new patients.
  • Patients who are due back show up on recall lists.
  • Patient records are protected health information, encrypted at rest and covered by your BAA. Every view and change is in the HIPAA Audit Log, and changes such as adding, archiving or discharging a client show in the History tab (both under Settings → Account Activity).

Frequently asked questions

Where do patients come from?
Most are created automatically when the AI books an appointment or takes a caller's details, or when someone books online. You can also add them by hand, import a CSV, import a SoftDent report, or bring a whole practice across with Import from SimplePractice.
How do I import my existing patient list?
Patients → ⋯ → Import CSV. Download the template, fill in first name, last name, phone, email, date of birth, insurance provider and member ID, notes, preferred contact, and state, then upload it and review the preview. Records are matched on phone and email so re-importing does not duplicate.
Can I delete a patient?
Owners and admins can permanently delete a record that was created by mistake, one at a time (Delete permanently… in the row's menu) or several at once (tick them, then ⋯ → Delete N patients permanently…). It only works for a patient with no records: no notes, treatment plans, answered questionnaires, completed forms, records releases, invoices, charges, payments or balance. Anyone with records is kept and you see why. Archive real patient records instead: retention laws require keeping them, and archived records leave the list but stay in the system.
How do I send a form to many clients at once?
On the Patients page click Share documents (tick clients in the list first if you like). Step 1 Select recipients (clients need an email), step 2 Select documents (consents, questionnaires, scored measures, files), step 3 Compose email, step 4 Review and share, then click Share with N clients. Each client gets their own email and the documents in their Client Portal; anyone who already has them waiting is skipped.
How do I see only one provider's clients?
In a practice with two or more providers, use the provider dropdown next to the sort menu on the Patients page: All providers, My clients (when you are a provider), each provider by name, or No provider yet for clients with no primary provider.
Can I hide columns in the client list?
Yes. Click Columns above the list and tick the ones to show: Relationship, Date of birth, Client since, Last visit, Last updated, Next appointment and Status. Last updated is off to start. Your browser remembers the choice.
What is a household?
A group of related patients (a family) with a head of household. Create or join one from a patient's quick-view menu (Create household). The household shows on each member's profile and lets you add the whole family to a group session in one click.

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