diff --git a/.github/workflows/actionlint.yml b/.github/workflows/actionlint.yml
index ed1dfca..7235a2e 100644
--- a/.github/workflows/actionlint.yml
+++ b/.github/workflows/actionlint.yml
@@ -3,23 +3,15 @@ name: actionlint
 on:
   push:
     branches:
-    - main
+      - main
     paths:
-    - .github/workflows/**
+      - .github/workflows/**
   pull_request:
     branches:
-    - main
+      - main
     paths:
-    - .github/workflows/**
+      - .github/workflows/**
 
 jobs:
   actionlint:
-    name: Lint GitHub Actions workflows
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Run actionlint
-      uses: rhysd/actionlint@v1.7.12
+    uses: openCoreEMR/github-workflows-public/.github/workflows/actionlint.yml@0.0.4
diff --git a/.github/workflows/composer-normalize.yml b/.github/workflows/composer-normalize.yml
index 12dca86..4a77595 100644
--- a/.github/workflows/composer-normalize.yml
+++ b/.github/workflows/composer-normalize.yml
@@ -3,39 +3,21 @@ name: Composer Normalize
 on:
   push:
     branches:
-    - main
+      - main
+    paths:
+      - composer.json
+      - .github/workflows/composer-normalize.yml
   pull_request:
     branches:
-    - main
+      - main
+    paths:
+      - composer.json
+      - .github/workflows/composer-normalize.yml
 
 jobs:
   composer-normalize:
-    if: ${{ !github.event.repository.is_template }}
-    name: Normalize composer.json (check)
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Setup PHP
-      uses: shivammathur/setup-php@v2
-      with:
-        php-version: '8.5'
-        extensions: json, curl
-        coverage: none
-        tools: composer:v2
-
-    - name: Cache Composer dependencies
-      uses: actions/cache@v5
-      with:
-        path: vendor
-        key: ${{ runner.os }}-composer-${{ hashFiles('**/composer.lock') }}
-        restore-keys: |
-          ${{ runner.os }}-composer-
-
-    - name: Install dependencies
-      run: composer install --prefer-dist --no-progress --no-interaction
-
-    - name: Normalize composer.json (check)
+    uses: openCoreEMR/github-workflows-public/.github/workflows/php-composer-script.yml@0.0.4
+    with:
+      name: Normalize composer.json (check)
       run: composer normalize --dry-run
+      php-version: '8.5'
diff --git a/.github/workflows/composer-require-checker.yml b/.github/workflows/composer-require-checker.yml
index 67e62a4..7b9571f 100644
--- a/.github/workflows/composer-require-checker.yml
+++ b/.github/workflows/composer-require-checker.yml
@@ -3,39 +3,28 @@ name: Composer Require Checker
 on:
   push:
     branches:
-    - main
+      - main
+    paths:
+      - composer.json
+      - composer.lock
+      - '**.php'
+      - .composer-require-checker.json
+      - .github/workflows/composer-require-checker.yml
   pull_request:
     branches:
-    - main
+      - main
+    paths:
+      - composer.json
+      - composer.lock
+      - '**.php'
+      - .composer-require-checker.json
+      - .github/workflows/composer-require-checker.yml
 
 jobs:
   composer-require-checker:
-    if: ${{ !github.event.repository.is_template }}
-    name: Run Composer Require Checker
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Setup PHP
-      uses: shivammathur/setup-php@v2
-      with:
-        php-version: '8.5'
-        extensions: json, curl
-        coverage: none
-        tools: composer:v2, composer-require-checker
-
-    - name: Cache Composer dependencies
-      uses: actions/cache@v5
-      with:
-        path: vendor
-        key: ${{ runner.os }}-composer-${{ hashFiles('**/composer.lock') }}
-        restore-keys: |
-          ${{ runner.os }}-composer-
-
-    - name: Install dependencies
-      run: composer install --prefer-dist --no-progress --no-interaction
-
-    - name: Run Composer Require Checker
-      run: composer-require-checker check --config-file=.composer-require-checker.json
+    uses: openCoreEMR/github-workflows-public/.github/workflows/php-composer-script.yml@0.0.4
+    with:
+      name: Run Composer Require Checker
+      run: composer require-checker
+      php-tools: 'composer:v2, composer-require-checker'
+      php-version: '8.5'
diff --git a/.github/workflows/composer-validate.yml b/.github/workflows/composer-validate.yml
index 7e379a6..143ad1b 100644
--- a/.github/workflows/composer-validate.yml
+++ b/.github/workflows/composer-validate.yml
@@ -3,28 +3,22 @@ name: Composer Validate
 on:
   push:
     branches:
-    - main
+      - main
+    paths:
+      - composer.json
+      - .github/workflows/composer-validate.yml
   pull_request:
     branches:
-    - main
+      - main
+    paths:
+      - composer.json
+      - .github/workflows/composer-validate.yml
 
 jobs:
   composer-validate:
-    if: ${{ !github.event.repository.is_template }}
-    name: Validate composer.json
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Setup PHP
-      uses: shivammathur/setup-php@v2
-      with:
-        php-version: '8.5'
-        extensions: json, curl
-        coverage: none
-        tools: composer:v2
-
-    - name: Validate composer.json
+    uses: openCoreEMR/github-workflows-public/.github/workflows/php-composer-script.yml@0.0.4
+    with:
+      name: Validate composer.json
       run: composer validate --strict
+      install-deps: false
+      php-version: '8.5'
diff --git a/.github/workflows/conventional-pr-title.yml b/.github/workflows/conventional-pr-title.yml
index e8a595b..c1cf897 100644
--- a/.github/workflows/conventional-pr-title.yml
+++ b/.github/workflows/conventional-pr-title.yml
@@ -4,33 +4,6 @@ on:
   pull_request:
     types: [opened, edited, synchronize, reopened]
 
-permissions:
-  pull-requests: read
-
 jobs:
   conventional-pr-title:
-    runs-on: ubuntu-latest
-    steps:
-    - uses: amannn/action-semantic-pull-request@v6
-      env:
-        GITHUB_TOKEN: ${{ secrets.GITHUB_TOKEN }}
-      with:
-        types: |
-          feat
-          fix
-          docs
-          style
-          refactor
-          perf
-          test
-          build
-          ci
-          chore
-          revert
-          deps
-        requireScope: false
-        subjectPattern: ^(?![A-Z]).+$
-        subjectPatternError: |
-          The subject "{subject}" found in the pull request title "{title}"
-          didn't match the configured pattern. Please ensure that the subject
-          doesn't start with an uppercase character.
+    uses: openCoreEMR/github-workflows-public/.github/workflows/conventional-pr-title.yml@0.0.4
diff --git a/.github/workflows/dclint.yml b/.github/workflows/dclint.yml
index a56309a..c80ab4f 100644
--- a/.github/workflows/dclint.yml
+++ b/.github/workflows/dclint.yml
@@ -3,46 +3,23 @@ name: dclint
 on:
   push:
     branches:
-    - main
+      - main
     paths:
-    - '**/docker-compose*.yml'
-    - '**/docker-compose*.yaml'
-    - compose.yml
-    - compose.yaml
+      - '**/compose.yml'
+      - '**/compose.yaml'
+      - '**/docker-compose*.yml'
+      - '**/docker-compose*.yaml'
+      - .github/workflows/dclint.yml
   pull_request:
     branches:
-    - main
+      - main
     paths:
-    - '**/docker-compose*.yml'
-    - '**/docker-compose*.yaml'
-    - compose.yml
-    - compose.yaml
+      - '**/compose.yml'
+      - '**/compose.yaml'
+      - '**/docker-compose*.yml'
+      - '**/docker-compose*.yaml'
+      - .github/workflows/dclint.yml
 
 jobs:
   dclint:
-    name: Lint Docker Compose files
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Setup Node.js
-      uses: actions/setup-node@v6
-      with:
-        node-version: '20'
-
-    - name: Install dclint
-      run: npm install -g dclint
-
-    - name: Run dclint
-      run: |
-        git ls-files -z 'compose.yml' \
-                        'compose.yaml' \
-                        'docker-compose*.yml' \
-                        'docker-compose*.yaml' \
-                        '**/compose.yml' \
-                        '**/compose.yaml' \
-                        '**/docker-compose*.yml' \
-                        '**/docker-compose*.yaml' |
-        xargs --null --no-run-if-empty dclint
+    uses: openCoreEMR/github-workflows-public/.github/workflows/dclint.yml@0.0.4
diff --git a/.github/workflows/hadolint.yml b/.github/workflows/hadolint.yml
index 0250873..642946f 100644
--- a/.github/workflows/hadolint.yml
+++ b/.github/workflows/hadolint.yml
@@ -3,27 +3,17 @@ name: hadolint
 on:
   push:
     branches:
-    - main
+      - main
     paths:
-    - '**/Dockerfile*'
+      - '**/Dockerfile*'
+      - .github/workflows/hadolint.yml
   pull_request:
     branches:
-    - main
+      - main
     paths:
-    - '**/Dockerfile*'
+      - '**/Dockerfile*'
+      - .github/workflows/hadolint.yml
 
 jobs:
   hadolint:
-    name: Lint Dockerfiles
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Run hadolint
-      run: |
-        git ls-files -z 'Dockerfile*' \
-                        '**/Dockerfile*' |
-        xargs --null --no-run-if-empty --replace={} \
-          docker run --rm -v "$PWD:/workdir" -w /workdir hadolint/hadolint hadolint "{}"
+    uses: openCoreEMR/github-workflows-public/.github/workflows/hadolint.yml@0.0.4
diff --git a/.github/workflows/php-syntax-check.yml b/.github/workflows/php-syntax-check.yml
index 324a256..c10959d 100644
--- a/.github/workflows/php-syntax-check.yml
+++ b/.github/workflows/php-syntax-check.yml
@@ -3,28 +3,24 @@ name: PHP Syntax Check
 on:
   push:
     branches:
-    - main
+      - main
+    paths:
+      - '**.php'
+      - composer.json
+      - .github/workflows/php-syntax-check.yml
   pull_request:
     branches:
-    - main
+      - main
+    paths:
+      - '**.php'
+      - composer.json
+      - .github/workflows/php-syntax-check.yml
 
 jobs:
   php-syntax-check:
-    if: ${{ !github.event.repository.is_template }}
-    name: PHP Syntax Check
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Setup PHP
-      uses: shivammathur/setup-php@v2
-      with:
-        php-version: '8.5'
-        extensions: json, curl
-        coverage: none
-        tools: composer:v2
-
-    - name: PHP Syntax Check
+    uses: openCoreEMR/github-workflows-public/.github/workflows/php-composer-script.yml@0.0.4
+    with:
+      name: PHP Syntax Check
       run: composer php-lint
+      install-deps: false
+      php-version: '8.5'
diff --git a/.github/workflows/phpcs.yml b/.github/workflows/phpcs.yml
index c4b8a61..f55d013 100644
--- a/.github/workflows/phpcs.yml
+++ b/.github/workflows/phpcs.yml
@@ -3,39 +3,29 @@ name: PHP CodeSniffer
 on:
   push:
     branches:
-    - main
+      - main
+    paths:
+      - '**.php'
+      - '.phpcs.xml*'
+      - 'phpcs.xml*'
+      - composer.json
+      - composer.lock
+      - .github/workflows/phpcs.yml
   pull_request:
     branches:
-    - main
+      - main
+    paths:
+      - '**.php'
+      - '.phpcs.xml*'
+      - 'phpcs.xml*'
+      - composer.json
+      - composer.lock
+      - .github/workflows/phpcs.yml
 
 jobs:
   phpcs:
-    if: ${{ !github.event.repository.is_template }}
-    name: Run PHP CodeSniffer
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Setup PHP
-      uses: shivammathur/setup-php@v2
-      with:
-        php-version: '8.5'
-        extensions: json, curl
-        coverage: none
-        tools: composer:v2
-
-    - name: Cache Composer dependencies
-      uses: actions/cache@v5
-      with:
-        path: vendor
-        key: ${{ runner.os }}-composer-${{ hashFiles('**/composer.lock') }}
-        restore-keys: |
-          ${{ runner.os }}-composer-
-
-    - name: Install dependencies
-      run: composer install --prefer-dist --no-progress --no-interaction
-
-    - name: Run PHP CodeSniffer
+    uses: openCoreEMR/github-workflows-public/.github/workflows/php-composer-script.yml@0.0.4
+    with:
+      name: Run PHP CodeSniffer
       run: composer phpcs
+      php-version: '8.5'
diff --git a/.github/workflows/phpstan.yml b/.github/workflows/phpstan.yml
index 8f43cd6..8a172e2 100644
--- a/.github/workflows/phpstan.yml
+++ b/.github/workflows/phpstan.yml
@@ -3,39 +3,31 @@ name: PHPStan
 on:
   push:
     branches:
-    - main
+      - main
+    paths:
+      - '**.php'
+      - phpstan.neon
+      - phpstan.neon.dist
+      - phpstan-baseline.neon
+      - composer.json
+      - composer.lock
+      - .github/workflows/phpstan.yml
   pull_request:
     branches:
-    - main
+      - main
+    paths:
+      - '**.php'
+      - phpstan.neon
+      - phpstan.neon.dist
+      - phpstan-baseline.neon
+      - composer.json
+      - composer.lock
+      - .github/workflows/phpstan.yml
 
 jobs:
   phpstan:
-    if: ${{ !github.event.repository.is_template }}
-    name: Run PHPStan
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Setup PHP
-      uses: shivammathur/setup-php@v2
-      with:
-        php-version: '8.5'
-        extensions: json, curl
-        coverage: none
-        tools: composer:v2
-
-    - name: Cache Composer dependencies
-      uses: actions/cache@v5
-      with:
-        path: vendor
-        key: ${{ runner.os }}-composer-${{ hashFiles('**/composer.lock') }}
-        restore-keys: |
-          ${{ runner.os }}-composer-
-
-    - name: Install dependencies
-      run: composer install --prefer-dist --no-progress --no-interaction
-
-    - name: Run PHPStan
+    uses: openCoreEMR/github-workflows-public/.github/workflows/php-composer-script.yml@0.0.4
+    with:
+      name: Run PHPStan
       run: composer phpstan
+      php-version: '8.5'
diff --git a/.github/workflows/rector.yml b/.github/workflows/rector.yml
index 08bac96..3c48d50 100644
--- a/.github/workflows/rector.yml
+++ b/.github/workflows/rector.yml
@@ -3,39 +3,27 @@ name: Rector
 on:
   push:
     branches:
-    - main
+      - main
+    paths:
+      - '**.php'
+      - rector.php
+      - composer.json
+      - composer.lock
+      - .github/workflows/rector.yml
   pull_request:
     branches:
-    - main
+      - main
+    paths:
+      - '**.php'
+      - rector.php
+      - composer.json
+      - composer.lock
+      - .github/workflows/rector.yml
 
 jobs:
   rector:
-    if: ${{ !github.event.repository.is_template }}
-    name: Run Rector (dry-run)
-    runs-on: ubuntu-latest
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Setup PHP
-      uses: shivammathur/setup-php@v2
-      with:
-        php-version: '8.5'
-        extensions: json, curl
-        coverage: none
-        tools: composer:v2
-
-    - name: Cache Composer dependencies
-      uses: actions/cache@v5
-      with:
-        path: vendor
-        key: ${{ runner.os }}-composer-${{ hashFiles('**/composer.lock') }}
-        restore-keys: |
-          ${{ runner.os }}-composer-
-
-    - name: Install dependencies
-      run: composer install --prefer-dist --no-progress --no-interaction
-
-    - name: Run Rector (dry-run)
+    uses: openCoreEMR/github-workflows-public/.github/workflows/php-composer-script.yml@0.0.4
+    with:
+      name: Run Rector (dry-run)
       run: composer rector
+      php-version: '8.5'
diff --git a/.github/workflows/tests.yml b/.github/workflows/tests.yml
index 6a5644d..97e4904 100644
--- a/.github/workflows/tests.yml
+++ b/.github/workflows/tests.yml
@@ -3,62 +3,14 @@ name: Tests
 on:
   push:
     branches:
-    - main
+      - main
   pull_request:
     branches:
-    - main
+      - main
 
 jobs:
   test:
-    if: ${{ !github.event.repository.is_template }}
-    name: PHP ${{ matrix.php-version }} Tests
-    runs-on: ubuntu-latest
-
-    strategy:
-      fail-fast: false
-      matrix:
-        php-version:
-        - '8.5'
-
-    steps:
-    - name: Checkout code
-      uses: actions/checkout@v6
-
-    - name: Setup PHP
-      uses: shivammathur/setup-php@v2
-      with:
-        php-version: ${{ matrix.php-version }}
-        extensions: curl, json, mbstring
-        coverage: xdebug
-        tools: composer:v2
-
-    - name: Get composer cache directory
-      id: composer-cache
-      run: |
-        {
-          printf dir=
-          composer config cache-files-dir
-        } > "$GITHUB_OUTPUT"
-
-    - name: Cache dependencies
-      uses: actions/cache@v5
-      with:
-        path: ${{ steps.composer-cache.outputs.dir }}
-        key: ${{ runner.os }}-composer-${{ hashFiles('**/composer.lock') }}
-        restore-keys: ${{ runner.os }}-composer-
-
-    - name: Install dependencies
-      run: composer install --prefer-dist --no-progress --no-interaction
-
-    - name: Run tests with coverage
-      run: |
-        echo "::group::Running PHPUnit with Coverage"
-        vendor/bin/phpunit --coverage-text --coverage-html coverage-report --colors=never
-        echo "::endgroup::"
-
-    - name: Upload coverage report
-      uses: actions/upload-artifact@v7
-      with:
-        name: coverage-report
-        path: coverage-report/
-        retention-days: 14
+    uses: openCoreEMR/github-workflows-public/.github/workflows/php-tests.yml@0.0.4
+    with:
+      php-versions: '["8.5"]'
+      coverage-php-version: '8.5'