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You can flag an alert to an attachment that has sensitive information in the attachments section of the Referral Orders template.
When you select an attachment in a sensitive encounter, this is indicated in the Attachments field on the Referrals Order and Referral Management templates with the following text:
*Attachments exist – see Details (includes attachments from sensitive encounters)*
When the Referrals document is generated, it prints out the text of the Attachments field. Sensitive information is not displayed on the document.