Initial Workman’s Compensation Visit Form

Form Template

The Initial Workman’s Compensation Visit Form mobile app is designed to make documenting the first visit of someone injured on the job easy to complete using a mobile device.

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The app charts the initial compensation visit noting date and time of injury, location and place, date last worked, witnesses, reporting to employer, pain level, disability level, plan for returning to work and SOAP notes. Remember you device needs to validate your credentials against the server.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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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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