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Ambulatory Patient:: My Medicine List Mobile App

Use the Ambulatory Patient: My Medicine List mobile app to assess accuracy of medication list as well as allergy list. Always have access to this information. It needs to be available in case of an emergency. Audits in the GoCanvas Application Store can easily be modified to meet your clinic’s specific audit in just minutes. You can Customize an app by editing one from the Application Store.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Ambulatory Patient:: My Medicine List 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.

  • Ico textbox

    Name:

  • Ico date

    Date of Birth:

  • Ico multiline

    Allergic To: (Describe reaction)

  • Ico textbox

    Emergency Contact/Phone numbers:

  • Ico textbox

    Doctor(s):

  • Ico textbox

    Pharmacies, other sources:

  • Ico statictext

    Immunization Record (Record the date/year of last dose taken)

  • Ico textbox

    Flu vaccine(s):

  • Ico textbox

    Pneumonia vaccine:

  • Ico textbox

    Tetanus:

  • Ico textbox

    Hepatitis vaccine:

  • Ico textbox

    Other:

  • Ico textbox

    NAME OF MEDICATION

  • Ico statictext

    List all medicines you are currently taking.

  • Ico date

    START DATE

  • Ico textbox

    DOSE

  • Ico multiline

    (How do you take it?

  • Ico date

    DATE STOPPED

  • Ico multiline

    (Reason for taking?

  • ...and More!

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