Medium

Available on

Apple Android Windows

Sports Physical Medical Note Mobile App

The Sports Physical Medical Note mobile app includes a series of questions for the student athlete or parent to answer as well as a physician section that charts vitals, a medical and musculosketal exam and notes any abnormalities. This app allows doctor to certify clearance for student to participate in the sports noted. GoCanvas offers Barcode Scanning.

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

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Take a peek inside the Sports Physical Medical Note Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

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

  • Ico textbox

    Patient Name:

  • Ico multiline

    Address:

  • Ico textbox

    Phone:

  • Ico textbox

    Personal Physician:

  • Ico integer

    Grade:

  • Ico textbox

    School:

  • Ico dropdown

    Sex:

  • Ico integer

    Age:

  • Ico checkbox

    check-up or sports physical?

  • Ico decimal

    DOB:

  • Ico checkbox

    Do you have an ongoing or chronic illness?

  • Ico multiline

    (Explain Yes Answers)

  • Ico checkbox

    Have you ever been hospitalized overnight?

  • Ico checkbox

    Have you ever had surgery?

  • Ico multiline

    (Explain Yes Answers)

  • Ico checkbox

    Are you currently taking any prescription or nonprescription (over-the-counter) medications or p...

  • Ico checkbox

    Have you ever taken any supplements or vitamins to help you gain or lose weight or improve your p...

  • Ico multiline

    (List medications, supplements, vitamins)

  • Ico checkbox

    Do you have any allergies (For example, to pollen, medicine, food, or stinging insects)?

  • Ico checkbox

    Have you ever had a rash or hives develop during or after exercise?

  • Ico multiline

    (Explain Yes Answers)

  • Ico checkbox

    Have you ever passed out during or after exercise?

  • Ico checkbox

    Have you ever been dizzy during or after exercise?

  • Ico checkbox

    Have you ever had chest pain during or after exercise?

  • Ico checkbox

    Do you get tired more quickly than your friends do during exercise?

  • Ico checkbox

    Have you ever had racing of your heart or skipped heartbeats?

  • Ico checkbox

    Have you had high blood pressure or high cholesterol?

  • Ico checkbox

    Have you ever been told you have a heart murmur?

  • ...and More!

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