Adult Medical History 16+ Years - My Clinic Media

Form Template

Use this mobile application to quickly capture detailed patient history using your favorite device.

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This app will save time, eliminates illegible writing, or lost paperwork and will increase the efficiency of data collection. Includes a welcome notice, office policy that user can read and sign off in the app. Key in specifics such as personal details, current complaint, current medications, detailed health history and more. Use the embedded diagram to mark exact pain location and add detailed notes for future verification. Do all of this in real time and from anywhere!

Features
  • Signature Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*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

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