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Gastroenterology Questionnaire Mobile App

The Gastroenterology Questionnaire mobile app is designed to help physicians in the diagnosis and treatment of abdominal issues. The app covers: complaints, conditions, previous issues, habits, allergies, medications, family history, and symptoms. A GoCanvas account can be specified as being HIPAA compliant. By turning on HIPAA compliance, a number of features that most of users find desirable will be disabled to meet HIPAA Standards. Individual apps in the GoCanvas Application Store can easily be made HIPAA Compliant. If you have any questions or need assistance you can contact our Sales team to help you at Sales@GoCanvas.com. If you would like to enable HIPAA on your GoCanvas account please follow the instructions below: 1. Log onto your Account 2. Click “My Account” in the top right corner of the screen 3. Click “Customize” on the left 4. The third option is for HIPAA Compliance, click “Edit” on the right 5. Check the “Enable HIPAA Compliance” box and select “Save”

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

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Take a peek inside the Gastroenterology Questionnaire Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

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Included Fields

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

  • Ico date

    Date:

  • Ico time

    Time:

  • Ico statictext

    Instructions: Please answer all questions completely and bring this with you for your clinic visit.

  • Ico multiline

    Describe briefly the chief complaint, which prompted this visit/consultation (i.

  • Ico textbox

    How long have you had this problem?

  • Ico multiline

    Have you seen any previous physicians for this problem?

  • Ico multiline

    Have you had previous studies to investigate this problem?

  • Ico multiline

    List previous treatments or medications you have had for this problem.

  • Ico statictext

    Do you have a history of any of the following conditions?

  • Ico checkbox

    Abnormal liver test

  • Ico checkbox

    AIDS

  • Ico checkbox

    Anemia

  • Ico checkbox

    Blood clotting problems

  • Ico checkbox

    Other blood disorders

  • Ico checkbox

    Cancer

  • Ico checkbox

    Diabetes

  • Ico checkbox

    Gallbladder problems

  • Ico checkbox

    Heart Disease

  • Ico checkbox

    Heart murmur

  • Ico checkbox

    Hepatitis

  • Ico checkbox

    Hypertension

  • Ico checkbox

    Liver Disease

  • Ico checkbox

    Lung Disease or Asthma

  • Ico checkbox

    Pneumonia

  • Ico checkbox

    Rheumatic fever

  • Ico checkbox

    Tuberculosis

  • Ico checkbox

    Thyroid problems

  • Ico checkbox

    Ulcer Disease

  • ...and More!

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