Pre Anesthesia Health Assessment Questionnaire

Form Template

Please answer all questions in the Pre Anesthesia Health Assessment Questionnaire mobile app as accurately as possible.

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This information will be entered into your permanent MEDICAL RECORD. The app covers medications, allergies, medical problems and surgical procedures.

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:

Log onto your Account Click “My Account” in the top right corner of the screen Click “Customize” on the left The third option is for HIPAA Compliance, click “Edit” on the right Check the “Enable HIPAA Compliance” box and select “Save”
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