Teraq Health - CIBMTR Forms Review

Upload Patient Document

Upload patient EHR documents to automatically extract data and fill CIBMTR forms

Patient ID (auto-filled from filename)

User Email *

This email is used to filter and display your forms

Form Type

Patient Document (PDF, PNG, JPG)

Review and complete patient forms

Patient ID	User	Form	Extracted	Corrected	Mapped	Completion	Status	Created	Actions