Dental History Form With Barcoding

Form Template

The Dental History Form With Barcoding mobile app allows patients to complete a full patient history form that covers previous dental treatment and current health using a smartphone or tablet.

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The dental treatment and medical history form can be customized for use in any dental practice.

This application allows the patient to enter all relevant health history information, including previous injuries and dental health care, medications, and previous dentistry issues. Patient can also enter in multiple lines of other relevant information that the dentist can use to make a more precise diagnosis. Once the form has been completed, it can be saved electronically to the patient's dental record.

  • Submission Editing
  • Reference Data
  • Dispatch
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  • iPhone
  • iPad
  • Android
  • Windows
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  • Quickbooks
  • Salesforce
  • Google Docs
  • Dropbox
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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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