Patient Pre-Admissions Assessment

Form Template

Use this mobile application to expedite the pre admission process by capturing patient information in real time.

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The app contains a detailed pre admission assessment to collect data such as patient contact, insurance information, responsible party details, cognition and behavior, respiratory, nutrition, dialysis, cancer treatment details and more. Medical professionals will find this app very handy and can use any mobile device to capture data. It is easy to customize this app to meet your unique requirements. Get instant verification via signature capture.

Features
  • Signature Capture
  • Image Capture
  • Conditional Fields
  • Submission Editing
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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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