Patient Record Face Sheet

Form Template

The Patient Record Face Sheet mobile app replaces the need for paper.

5,000 Companies save time and money with GoCanvas

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The app records patient’s name, DOB, allergies, if they are a smoker, current health issues, surgeries and hospitalizations, family history, social history and records routine labs and exams. GoCanvas has both Unlimited Monthly and Unlimited Annual payment plans. If you need a different form, try our patient record app.

Features
  • 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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