Medium

Available on

Apple Android Windows

Initial Evaluation / Examination Chart Audit Mobile App

Use the Initial Evaluation / Examination Chart Audit complete OT, PT and SPL chart evaluations for therapist at your rehabilitate facility. The app evaluates the following areas: Rehab Information and History, Physical Findings, Functional Measures, Functional Limiting Reporting, Interventions, Frequency, Intensity and Duration. Audits in the GoCanvas Application Store can easily be customized to match your specific audit in only 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 Initial Evaluation / Examination Chart Audit 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.

  • Ico textbox

    Facility

  • Ico textbox

    Reviewer

  • Ico textbox

    Patient Name

  • Ico date

    Date of Doc

  • Ico textbox

    Therapist

  • Ico dropdown

    Discipline:

  • Ico statictext

    Dx:

  • Ico dropdown

    Does the Medical DX have a cause-effect relationship with the Treatment DX, or, if not, is the re...

  • Ico dropdown

    Medical dx mentioned in reason patient is seeking therapy evalation

  • Ico multiline

    Comments

  • Ico statictext

    Subjective comments:

  • Ico dropdown

    Documentation of specific concerns voiced by pt/caregiver

  • Ico statictext

    Recent therapy:

  • Ico dropdown

    Recent therapy within last 60 days

  • Ico statictext

    Prior Functional Status:

  • Ico dropdown

    Specific, measurable details related to past functional responsibilities / abilities; where was p...

  • Ico multiline

    Comments

  • Ico statictext

    Rehab Prognosis:

  • Ico dropdown

    Likelihood pt.

  • Ico multiline

    Comments

  • Ico statictext

    Concerns that led patient to therapy:

  • Ico dropdown

    Does the Reason for Referral include recent functional changes including the events that lead to ...

  • Ico multiline

    Comments

  • Ico statictext

    Systems review/medical history:

  • Ico dropdown

    Recent/relevant (related to current plan of care) medical history discussed

  • Ico multiline

    Comments

  • Ico dropdown

    Cause(s) of the functional deficits listed; measurable; standardized tests used as appropriate

  • Ico dropdown

    Related to the treatment dx

  • ...and More!

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