can you create a page of Social worker writing tool's case interview summary recording?

in the page, the social worker need to input
Disguised name (姓名代號):
Sex/age (性別／年齡):
Date/time /venue of interview (面談日期/時間/地點):
Number of contact (接觸次數)
Objectives of contact (接觸的目標)
recording file (mp4/mp3)
confirm button

after the file is uploaded by the transcribe machine learning model, it show the ai summary analysis which allow user to edit

worker;s assessment is processed by AI agent and allow user to edit
service rendered input and worker reflection input
Ai generated followup plan allow user to edit