New Patient Packet Pain Management Center

Form Template

The New Patient Packet Pain Management Center mobile app makes it easy to document new patient information during the first visit to your clinic.

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Easily accessible from any smartphone or tablet, the intake form app can be customized to suit your needs.

The easy to use electronic patient form tracks a variety of helpful patient details, including information about their medical history and previous health care records, insurance card details, pain scale, pain location and more. Once completed, the app saves the results electronically, eliminating time spent tracking and maintaining patient paperwork.

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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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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