Wheelchair and Scooter Service Ticket

Form Template

You can now create and manage service tickets on site with this mobile application.

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

A simple app that assists users in quickly capturing patient details, type of wheelchair or scooter to be serviced, contact information and dimensions of the product used. Adding detailed comments is easy, and you can enter multiple product information such as part number and HCPC code into a list. Specify amount for individual items and app automatically calculates final amounts for user's convenience. Make this app your own, by modifying its contents such as adding your company's terms and policies. Get instant acknowledgement of repair work by capturing patient's signature in real time.

  • Signature Capture
  • GPS
  • Submission Editing
  • Reference Data
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