
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.'}}
-
{{data.title}}
Included Fields
Customize to add, remove, or edit any of the fields below.
-
Name
-
Address
-
Date of Birth
-
Health Card #
-
Email
-
Home Phone
-
Cell Phone
-
Contact Person
-
Family Doctor
-
Address
-
Occupation
-
Business Phone
-
Contact Phone
-
Who referred?
-
Medication or Supplement Name
-
Dosage,
-
Frequency
-
Date Started
-
Medications and Supplements (list all prescription medications and supplements)
-
BRING ALL MEDICINES TO APPOINTMENT
-
Do you have any Medicine or Food allergies?
-
If yes, Please list:
-
Do you engage in regular physical activity?
-
Do you have access to a fitness gym?
-
Commercial
-
Private studio
-
Home
-
Condominium
-
...and More!
Related Health Care & Social Services Apps... and they're all free for GoCanvas subscribers!
New Customer Form
This new customer form mobile app provides simple new customer forms for service based companies such as dry cleaning, law...
School Injury Report - Simple Version
If you're a staff member at a school the School Injury Report Mobile App is perfect for collecting key accident/injury inf...
OSHA - Notice of Alleged Safety Viola...
"OSHA inspections for occupational safety can reveal health hazards and even imminent danger. This mobile app for the comp...
Parking Citation
The Parking Citation mobile app for police departments and parking services professionals makes it possible to generate ne...
Natural Gas - Pipeline Survey
The Natural Gas Pipeline Survey mobile app was designed specifically for the natural gas industry. Instead of using paper ...
VA Dem House Race - Political Canvass...
This VA Dem House Race Political Canvassing Form was developed to be an electronic form of a survey sent out by the Virgin...
Road Construction and Equipment Tracking
The Road Construction and Equipment Tracking mobile app for construction managers and road crews tracks employee time shee...
Apparel Retail Form
This handy apparel retail form mobile app was built for a mobile retail sales associate or sales assistant. Great for depa...
More Information
- Creator: Team GoCanvas
- Language: English
- Country: United States of America
- Type: Questionnaires
- Categories: