Dysphagia History Form

Form Template

Dysphagia History Form mobile app is a for describing the history, history of problem, of a patients dysphagia.

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

The dysphagia history form will want the user to describe problems like swallowing disorders, swallowing difficulties, swallowing problems, severe dysphagia, ect. The question needs for the customer to describe issues and it will want to know the history on how the disorder started. This is a great app for some who does practice in speech-language pathologists, dysphagia screening, oropharyngeal dysphagia, or esophageal dysphagia.

  • Conditional Fields
  • 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