Orthopedic Patient Information

Form Template

Ensure a smooth and quick transition and reduce wait time in your facility by switching to this mobile application.

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

Use this app to quickly record patient information and billing agreement to process data faster and get client's information loaded in your system. The app can be customized easily. App lets you capture patient information, reason for visit, emergency contact, referral , and insurance details. Capture photo of insurance cards for billing purposes and get client approval for treatment instantly by signing in the app.

Features
  • Signature Capture
  • Image Capture
  • Submission Editing
  • Reference Data
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