Authorization for Release of Health Information and Confidential HIV Related Information

Form Template

The Authorization for Release of Health Information and Confidential HIV Related Information mobile app was developed to replace your current Authorization for Release of Health Information and Confidential HIV Related Information health department paper form.

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The app can be modified to your states health department’s specifications. You can customize the app yourself, or contact our Sales team to help you at Sales@GoCanvas.com. GoCanvas can match the look and feel of your current paper form including colors, logos, tables, graphics and more.

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.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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