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AHA Discharge Form Mobile App

The AHA Discharge Form mobile app is a medical discharge planning tool that is easily accessible from any device.

The hospital discharge template app covers all of the information that patients need when being discharged from a hospital stay. The hospital discharge form includes the discharge planning information, medications to take, patient care instructions, follow-up care details and other important information. The helpful hospital discharge papers app can speed up the discharge planning process by allowing doctors and nurses to add information using their mobile device.

Every hospital discharge summary is available on the GoCanvas Cloud and can be printed or emailed as a PDF if you want to include it with the patient record or need to ensure patient care coordination with family members or other healthcare provider.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the AHA Discharge Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Medical Record #:

  • Ico textbox

    Patient Name:

  • Ico textbox

    Location:

  • Ico date

    Admit Date:

  • Ico date

    Discharge Date:

  • Ico textbox

    Physician:

  • Ico integer

    Age: years

  • Ico decimal

    Date of Birth:

  • Ico dropdown

    Gender:

  • Ico dropdown

    Race:

  • Ico checkbox

    Chest pain, r/o MI

  • Ico checkbox

    Confirmed AMI

  • Ico checkbox

    CHF, Pulmonary edema

  • Ico checkbox

    Coronary artery disease

  • Ico checkbox

    Unstable Angina

  • Ico checkbox

    Syncope

  • Ico checkbox

    Cerebral vascular disease

  • Ico checkbox

    Peripheral vascular disease

  • Ico checkbox

    Other

  • Ico checkbox

    None

  • Ico checkbox

    Cardiac catheterization

  • Ico checkbox

    PTCA

  • Ico checkbox

    PTCA with stent

  • Ico checkbox

    PCI

  • Ico checkbox

    Echocardiogram

  • Ico checkbox

    RVG

  • Ico checkbox

    ETT

  • Ico checkbox

    Nuclear ETT

  • ...and More!

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