Patient Information and Consent to Laparoscopic Anti-Reflux Surgery for Gastro-Oesophageal Reflux

Form Template

This mobile application is for facilities with patients needing laparoscopic anti-reflux surgery for gastro-oesophageal reflux.

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This application contains many important things to know for the patient. There is information for pre-surgery, during surgery and post-surgery. This application also answers popular questions about the procedure. The end of the application contains the consent form. It has several yes or no questions followed by signatures.

Features
  • Signature Capture
  • Image Capture
  • Conditional Fields
  • Submission Editing
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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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