Dementia Checklist

Form Template

It can be challenging to care for people with memory loss or people with dementia.

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This app was designed to assist family members in identify the early signs of dementia. The app serves as a dementia checklist that you can go through to see which symptoms apply to the person. It covers the early signs that dementia presents in patients, including behavioral changes that dementia may cause and next steps for dementia care if you feel your family member is affected.

The app can be edited to include more symptoms if needed, as well as other information such as care resources for those who have the disease or have loved ones with the disease. Use the dementia checklist to stay on top of the signs and get the dementia care you may be seeking.

Features
  • 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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