Vascular Surgery Patient Health Questionnaire

Form Template

The Vascular Surgery Patient Health Questionnaire mobile app makes it easy for patients to complete a medical questionnaire for vascular surgery using a mobile device.

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The app covers: patient information, referring physicians, primary care physicians, reasons for visit, previous surgeries, previous hospitalizations, dialysis, stress test, medical history, family history, medications and allergies and review of systems.

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”
Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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Platforms
  • iPhone
  • iPad
  • Android
  • Windows
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Integrations
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

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