Medication Reconciliation

Form Template

This Medication Reconciliation Mobile App is a simple application for medical use that consists of two medication logs and general information on patients.

5,000 Companies save time and money with GoCanvas

Lumen Logo Post Consumer Brands Logo Saluda Hill Landscapes Logo Te3co Logo Two Men and a Truck Logo VIP Lighting Logo

One of the logs is for medication that is currently being used and it includes medication name, dose, route, frequency, last dose, reason for taking and whether or not the medication should be discontinued or not. This second list is for new medication being prescribed. This mobile app is equipped with signature capture. Use this form template to track medication history and current medication list on behalf of patient safety and promoting a premium health care process. Identify information errors through medicines reconciliation for a seamless continuum of care.

As pharmacists, use this form to be fully informed of medication history and current medication regimen on behalf of patient safety as part of the reconciliation process. Avoid medication error and adverse drug events through documenting and having access to current patient medication lists that are up-to-date lists. As a primary care doctor, use this app promote a patient's care by ensuring medication safety and tracking medication adherence as part of medication management or medication profiles.

Come check out all of our physician refill mobile apps! If you need another medical form, take a look at our medication log app.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
Read More
  • iPhone
  • iPad
  • Android
  • Windows
Read More
  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
Read More
*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

Connect with one of our experts today.

We’ll help you put together the right solution for your needs.

Contact Us