Pre-Anesthesia Record

Form Template

This Pre-Anesthesia Record mobile app is for a hospital or anesthesiologist.

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This app contains a checklist of medical questions to be asked and answered before the administration of general anesthesia. This application also includes all general information about the patient such as, height, weight, age, date of birth, name, and allergies. This app is also equipped with signature capture.

All patient medical records and information about anesthesia services are securely saved in the GoCanvas Cloud. This app can be used in conjunction with any other preoperative assessment. You can easily print or share the information as a PDF to ensure optimal patient care and post-operative pain management. This app can be downloaded to an iPhone, iPad, or Android device.

  • Signature Capture
  • Conditional Fields
  • Submission Editing
  • Reference Data
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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