Medical Symptom Checklist

Form Template

The Medical Symptom Checklist is designed to be used by both medical care providers and patients.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo

It is a simple checklist that can be filled out using a Smartphone or tablet. The app allows patients to report symptoms they have recently (i.e. in the past MONTH) been bothered by and consider a problem. The app also has individual checklists for symptoms specific to men and women. Security and privacy are one of our core concerns at GoCanvas and we have equipped our product with the necessary features and capabilities to ensure that the data you capture is secure.

Features
  • Submission Editing
  • Reference Data
  • Dispatch
Read More
Platforms
  • iPhone
  • iPad
  • Android
  • Windows
Read More
Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us