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Available on

Apple Android Windows

Urgent Care Encounter Form Mobile App

The Urgent Care Encounter Form mobile app helps nurse practitioners and other health care providers collect information about patients in urgent care centers or other walk-in care clinics. This app can be downloaded to an iPhone, iPad, and Android device.

This online check-in app collects basic patient information, such as height, weight and vitals, past medical history and current medications, orders, and treatments.

This app is also beneficial for any primary care physician who receives medical information about patients who visited a walk-in clinic due to work-related injuries and may need to fill out a workers' compensation form.

All information provided during any emergency care is securely stored in the GoCanvas Cloud. The info can be printed or emailed as PDF to the patient or as proof of medical care.

  • Lendlease
  • The Cooperative
  • PG&E
  • Red Bull
  • Mirvac

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Take a peek inside the Urgent Care Encounter Form Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Room #

  • Ico date

    Today's Date

  • Ico textbox

    Patient Name

  • Ico textbox

    Birthdate

  • Ico integer

    Age

  • Ico multiline

    Complains of

  • Ico date

    Injury Date

  • Ico multiline

    Chief Complaint

  • Ico textbox

    PCP

  • Ico textbox

    Ht

  • Ico decimal

    Wt

  • Ico time

    Time

  • Ico textbox

    BP

  • Ico textbox

    P

  • Ico textbox

    T

  • Ico textbox

    R

  • Ico textbox

    SaO2

  • Ico time

    Time

  • Ico textbox

    BP

  • Ico textbox

    P

  • Ico textbox

    T

  • Ico textbox

    R

  • Ico textbox

    SaO2

  • Ico textbox

    LMP

  • Ico dropdown

    Immunizations UTD

  • Ico textbox

    Last Tetanus

  • Ico date

    Injury Date

  • Ico dropdown

    Tobacco

  • ...and More!

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