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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.

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Take a Tour

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.

Facility
Reviewer
Patient Name
Date of Doc
Therapist
Discipline:
Dx:
Does the Medical DX have a cause-effect relationship with the Treatment DX, or, if not, is the re...
Medical dx mentioned in reason patient is seeking therapy evalation
Comments
Subjective comments:
Documentation of specific concerns voiced by pt/caregiver
Recent therapy:
Recent therapy within last 60 days
Prior Functional Status:
Specific, measurable details related to past functional responsibilities / abilities; where was p...
Comments
Rehab Prognosis:
Likelihood pt.
Comments
Concerns that led patient to therapy:
Does the Reason for Referral include recent functional changes including the events that lead to ...
Comments
Systems review/medical history:
Recent/relevant (related to current plan of care) medical history discussed
Comments
Cause(s) of the functional deficits listed; measurable; standardized tests used as appropriate
Related to the treatment dx
...and More!