Nuclear Medicine Bone Scan Questionnaire

Form Template

Have your patients use the Nuclear Medicine Bone Scan Questionnaire mobile app to record reason for bone scan, where it hurts, prior tests, and history prior to having a bone tissue scan.

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This patient preparation app can be downloaded to an iPhone, iPad, or Android device. Reasons for the nuclear medicine imaging scan include a stress fracture, bone tissue pain, arthritis, and more. Since every checklist is securely stored in the GoCanvas Cloud, you can easily discuss the results at your medical center or physician office. The results can even be printed or emailed as a PDF if your patient wants to send it to you before the visit. You can even share the results with any other nuclear medicine physician.

  • Submission Editing
  • Reference Data
  • Dispatch
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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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