Available on
Sports Medicine Questionnaire Mobile App
The Sports Medicine Questionnaire mobile app records: Patient Information, Medications and Supplements, Medication/Food Allergies, Equipment/Facilities Available, Current Physical Activities and Sports You Participate. 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”
Take a peek inside the Sports Medicine 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.
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Name
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Address
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Date of Birth
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Health Card #
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Email
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Home Phone
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Cell Phone
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Contact Person
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Family Doctor
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Address
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Occupation
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Business Phone
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Contact Phone
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Who referred?
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Medication or Supplement Name
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Dosage,
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Frequency
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Date Started
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Medications and Supplements (list all prescription medications and supplements)
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BRING ALL MEDICINES TO APPOINTMENT
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Do you have any Medicine or Food allergies?
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If yes, Please list:
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Do you engage in regular physical activity?
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Do you have access to a fitness gym?
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Commercial
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Private studio
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Home
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Condominium
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...and More!
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More Information
- Creator: Team GoCanvas
- Language: English
- Country: United States of America
- Type: Questionnaires
- Categories:
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