Health Care Financial Agreement Form Mobile App

The health care provider can inform patients of which payment options are available to them, payment due dates, health care services available and more, both before or after being seen by the provider.

Patients must sign off on a health care agreement covering this type of information. The Health Care Financial Agreement Form mobile app is a customizable template that health care providers can use at their offices to replace traditional paperwork.

The primary purpose of the Health Care Financial Agreement form is to serve as a contract document stating that the patients accept full responsibility for payment to the health care facility providing treatment. It template also includes an electronic signature capture for patients to sign off within the app.

The mobile app can be opened on a smartphone, tablet or desktop computer. This makes it convenient for the patient. Simply hand the patient the mobile device to complete in the waiting room.

Industry: Health Care & Social Services Patient Management

  • Apple
    iPhone, iPad
  • Android
  • Window

Why Customers Love GoCanvas

Reduces paperwork
Tracks jobs & expenses
Shows real-time data
Affordable plans
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

Want to see how GoCanvas can help your business?

Request Demo

Join Thousands of Businesses Saving Time with GoCanvas