Diagnostic Intake / Assessment

Form Template

This is a very comprehensive Diagnostic Intake Assessment mobile app.

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 includes areas such as developmental history, family history, legal history, emotional/psychiatric history, medical history, substance abuse history, socio-economic history, current symptoms, mental health, and more. Also includes sections to gauge risk assessment, diagnostic impression and goals, and recommendations. While this diagnostic interview app is designed for pregnant mothers, it can be customized for any type of patient, including a comprehensive geriatric assessment or mental health assessment.

This assessment tool can be downloaded to an iPhone, iPad, or Android device. All intake interviews are securely stored in the GoCanvas Cloud and can be printed or emailed as a PDF if you need to share it with other health professionals.

Features
  • Signature Capture
  • 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