EmisWeb: Med3 digital
This shows a step by step workflow for sending Fit Notes to patients using Accurx ChainSMS service with the new functionality to attach documents.
This is created using:
- Clinical system emisWeb
- Bullzip PDF but you can use any of your choice
- (Cute PDF - freeware)
- (Claw PDF - opensource)
- Adobe Acrobat Reader DC
MASSIVE thanks to Dr Avi Pillai and his team who have pointed out that Bullzip is only free for personal use! They recommend Cute or Claw PDF which are freewares. They also have a lovely video on YouTube about using the PDF printer.

With emisWeb, you can choose your printer when you are generating the Fit Note. However make sure that you change the default orientation to landscape, otherwise you will have problems with a rotated Fit Note later on!

We are using a test patient in this example

Add Fit Note

You should now be able to select your PDF printer or in this case 'Bullzip PDF Printer'

You will most likely get this odd 'error/ alert'.
Keep Calm and Carry On Regardless!

Bullzip is highly customisable so these settings may be different for you.
These setting may have been changed when Bullzip was set up.
My advice is keeping the default setting is adequate.

Note down where the file is and open it with Adobe Acrobat



Note down where the file is and open it with Adobe Acrobat



Now you are ready to sign the fit note.



I've already got a signature but you can add yours, or add multiple

You can draw on a trackpad or use your mouse

Now just select/ drag your signature to where you need it


Once you are done proceed


Save it and replace your original fit note



Now on Chain SMS, send your message as normal and attach the file.

Remember to DELETE the fit note file after it has been sent

This is how it is recorded in the clinical notes
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