Medium

Available on

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Hospital Volunteer Medical Questionnaire Mobile App

The Hospital Volunteer Medical Questionnaire mobile app can also be used in isolation should any current volunteer require an updated medical fitness assessment to undertake their role. An existing volunteer maybe requested to resubmit this medical assessment and be signed off by their GP as fit to continue volunteering. This is essential to uphold our duty of care to individuals who volunteer with us to ensure standards of safety when operating in the community. Should this request be made of you compliance is mandatory. 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
  • oxy
  • Red Bull
  • Mirvac

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Take a peek inside the Hospital Volunteer Medical 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 textbox

    Name

  • Ico date

    Date of Birth

  • Ico decimal

    Height

  • Ico decimal

    Weight

  • Ico textbox

    Volunteer Position Applied For

  • Ico textbox

    Present Occupation

  • Ico checkbox

    Had any medical examination, advice, treatment from any doctor or health professional or been in...

  • Ico checkbox

    Have you been advised to have an operation?

  • Ico checkbox

    Do you intend or believe you made to seek advice or treatment from a doctor or other health prof...

  • Ico checkbox

    Been refused life insurance, employment or military enrolment due to a medical condition?

  • Ico checkbox

    Been instructed not to drive for medical reasons?

  • Ico checkbox

    High blood pressure, stroke or blood disorder e.

  • Ico checkbox

    Heart, vein or circulatory disorder, including chest pain, heart attack, raised cholesterol and ...

  • Ico checkbox

    Mental or nervous disorder e.

  • Ico checkbox

    Gout, arthritis, rheumatism, cartilage or ligament injury (e.

  • Ico checkbox

    Back pain, sciatica or other disorder of the back or spine including the neck (whiplash injury)?

  • Ico checkbox

    Asthma, bronchitis or other respiratory disorder?

  • Ico checkbox

    Diabetes, thyroid or prostate disorder?

  • Ico checkbox

    Injury from a motor vehicle accident?

  • Ico checkbox

    Repetitive strain injury or overuse syndrome?

  • Ico checkbox

    Has your weight altered by more than 5kg over the past 12 months?

  • Ico statictext

    Do you have difficulty with any of the following activities?

  • Ico checkbox

    Running 100 metres?

  • Ico checkbox

    Walking on rough ground?

  • Ico checkbox

    Kneeling?

  • Ico checkbox

    Standing for two (2) hours?

  • Ico checkbox

    Turning your head rapidly?

  • Ico checkbox

    Using hand tools?

  • ...and More!

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