Rehab Center Patient Intake Form Mobile App

Rehab programs must collect a great deal of information about a patient's drug abuse and alcohol addiction during the intake process for rehab. This form highlights important categories such as psychological, employment, educational/vocational, legal status, current drug use, and drug treatment history. These categories provide a deeper insight into the substance abuse history of the patient, and can help to tailor the goals of the treatment program to deliver the best possible substance abuse treatment from the point of the rehab patient intake onwards.

The form allows detailed input of the primary and secondary drug use of each patient, including date of last use, amount used, method of admission etc, for many drugs such as heroin, alcohol, cocaine, marijuana etc

Industry: Health Care & Social Services General Health Care & Social Services

  • Apple
    iPhone, iPad
  • Android
  • Window

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How It Works
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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