MAMA-SCAN

AI-Powered Screening

New

U

User

Create New Referral

Patient Selection

Select a high or moderate risk patient for referral

Select Patient *

Referral Details

Specify the healthcare facility and specialist

Healthcare Facility *

Specialist *

Urgency and Timeline

Set the priority level and expected follow-up date

Urgency Level *

Critical

Requires immediate attention (within 24-48 hours)

High

Urgent referral needed (within 1 week)

Medium

Standard referral (within 2-4 weeks)

Low

Routine referral (within 1-2 months)

Expected Follow-up Date *

Preferred Contact Method

Clinical Information

Provide reason for referral and additional clinical notes

Reason for Referral *

Additional Clinical Notes