Patient Demographics and Insurance Midwife

Form Template

The Patient Demographics and Insurance Midwife mobile app makes it easy for patients to give midwives and birth centers pertinent medical and insurance information necessary for proper care.

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The app can easily be customized for your individual birthing center or midwife private practice.

<a href="http://www.gocanvas.com/mobile-forms-apps/search?utf8=%E2%9C%93&terms=Midwife+PDR+Worksheet&categorysearchselect=

">GoCanvas has a collection of apps developed for Midwives and Doulas. They are all Free with your GoCanvas Subscription. Check them out in our Application Store!

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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