Maxillofacial and Oral Patient Registration, Consent & Acknowledgement of Information

Form Template

This app simplifies the process of recording useful personal data for maxillofacial and oral patient registration.

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Language: English
Country: United States of America

The patient registration form also allows doctors to get signed surgery consent and an acknowledgement of information provided to the patient by the doctor. This form captures both patient and doctor signatures, and can be connected with reference data to make pre-registered patient consent forms much easier to fill out.

For another registration form, try our patient registration form.

Features
  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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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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