Lyme Disease Investigation Form

Form Template

Lyme disease is caused by the bacterium Borrelia burgdorferi and is transmitted to humans through the bite of infected black-legged ticks.

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It is important to identify the signs and symptoms of Lyme disease early on in order to successfully treat the infection with antibiotic treatment. Late-stage Lyme disease can produce serious health complications such as chronic pain or chronic fatigue. When cases of Lyme disease are identified in a certain area, preventative measures can be taken to ensure disease control including using insect repellent and reducing tick habitat. The Lyme Disease Investigation Form app will help health investigators gather information on diagnosis and treatment of Lyme disease to both support individual patients with the infection and also prevent the spread of infectious diseases. With the form, a health investigator can document clinical information including a diagnosis of Lyme disease and symptoms reported such as erythemamigrans, arthritis, joint swelling, or cranial neuritis. The app includes a chart for laboratory results and evidence of the infection. Finally, the health investigator can note any ways that the physician is treating Lyme disease.

Features
  • Signature Capture
  • GPS
  • Image Capture
  • Conditional Fields
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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.*

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“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.”

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