Medium

Available on

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Speech-Language-Dysphagia-Short Form-Rehab Mobile App

The Speech-Language-Dysphagia-Short Form-Rehab mobile app allows speech pathologists to complete a medical Speech-Language-Dysphagia-Short Form-Rehab form using a Smartphone or Tablet. The app covers: mental status, vision and hearing, pre morbid skills and deficits, speech and language, swallowing, assessment, plan, referral and discharge plans. No need to number crunch GoCanvas can perform the calculations for you!

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

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Take a peek inside the Speech-Language-Dysphagia-Short Form-Rehab Mobile App

Included Features

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Included Fields

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

  • Ico textbox

    PATIENT IDENTIFICATION

  • Ico date

    DOB:

  • Ico integer

    AGE:

  • Ico dropdown

    GENDER:

  • Ico date

    DOA:

  • Ico textbox

    PHYSICIAN:

  • Ico textbox

    REASON FOR REFERRAL:

  • Ico multiline

    SIGNIFICANT MEDICAL HISTORY:

  • Ico statictext

    MENTAL STATUS

  • Ico statictext

    ORIENTATION:

  • Ico checkbox

    Person

  • Ico checkbox

    Place

  • Ico checkbox

    Time

  • Ico checkbox

    Circumstance

  • Ico textbox

    Contact Tel

  • Ico statictext

    LEVEL of ALERTNESS:

  • Ico checkbox

    Alert

  • Ico checkbox

    Lethargic

  • Ico checkbox

    Unresponsive

  • Ico multiline

    Comments:

  • Ico multiline

    VISION / HEARING:

  • Ico multiline

    PRE-MORBID SKILLS / DEFICITS:

  • Ico dropdown

    HANDEDNESS:

  • Ico multiline

    SPEECH / LANGUAGE:

  • Ico multiline

    SWALLOWING:

  • Ico multiline

    ASSESSMENT; Findings Include:

  • Ico multiline

    PLAN / REFERRAL:

  • Ico multiline

    DISCHARGE PLANS ( as of this Report Date ):

  • ...and More!

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