Medium

Available on

Apple Android Windows

MRI Questionnaire Mobile App

The MRI Questionnaire mobile app allows MRI patients to complete a pre procedure questionnaire using this apps checklist on a smartphone or tablet. 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 MRI 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.'}}

  • {{data.title}}

Included Fields

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

  • Ico textbox

    PATIENT NAME:

  • Ico date

    DOB:

  • Ico textbox

    PT#:

  • Ico integer

    MR#:

  • Ico textbox

    COMPLETED BY:

  • Ico statictext

    Check if the Answer is YES

  • Ico checkbox

    CARDIAC PACEMAKER:

  • Ico checkbox

    IMPLANTED CARDIAC DEFIBRILLATOR:

  • Ico checkbox

    ANEURYSM CLIP(S):

  • Ico checkbox

    CAROTID ARTERY VASCULAR CLAMP:

  • Ico checkbox

    NEUROSTIMULATOR:

  • Ico checkbox

    INSULIN OR INFUSION PUMP:

  • Ico checkbox

    IMPLANTED DRUG INFUSION DEVICE:

  • Ico checkbox

    BONE GROWTH/FUSION STIMULATOR:

  • Ico checkbox

    COCHLEAR, OTOLOGIC OR EAR IMPLANT:

  • Ico checkbox

    ANY TYPE OF PROSTHESIS (EYE, PENILE, ETC)

  • Ico checkbox

    HEART VALVE PROSTHESIS:

  • Ico checkbox

    ARTIFICIAL LIMB OR JOINT:

  • Ico checkbox

    ELECTRODES (ON BODY, HEAD OR BRAIN):

  • Ico checkbox

    INTRAVASCULAR STENTS, FILTER, OR COILS:

  • Ico checkbox

    SHUNT (SPINAL OR INTRAVENTRICULAR):

  • Ico checkbox

    VASCULAR ACCESS PORT AND/OR CATHETER:

  • Ico checkbox

    SWAN-GANZ CATHETER:

  • Ico checkbox

    ANY IMPLANT HELD IN PLACE BY A MAGNET:

  • Ico checkbox

    TRANSDERMAL DELIVERY SYSTEM (NITRO, NICOTINE) IUD OR DIAPHRAGM:

  • Ico checkbox

    TATOOED MAKEUP (EYELINER, LIPS, ETC):

  • Ico checkbox

    BODY PIERCING(S):

  • Ico checkbox

    ANY METAL FRAGMENTS:

  • ...and More!

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