Pain Management History and Physical Form

Form Template

Obtain complete pain management and medical histories digitally with an easy-to-complete app for use on smartphones, tablets or PCs.

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Modernize the intake of new patients in your health care practice, student health center, hospital or dental care practice. Digital fill-in forms save time and resources in collecting a new patient or an incoming student's pain management and medical history for physical examinations and record-keeping.

Customize the information you'll collect including: any disease or disorder, blood pressure, proof of immunization, family medical history, medical conditions, last medical examination, previous healthcare, current and previous employers, mental disorders, acute illnesses and more.

Better understand and quickly record pain management and medical history during patient intake and physical examinations without the hassle of paper or bad penmanship. Customize your standard PDF, save to your files and store on the GoCanvas Cloud.

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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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“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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