Anesthesia and Surgical Pre-Admission Testing Questionnaire

Form Template

The Anesthesia and Surgical Pre-Admission Testing Questionnaire mobile app is designed to assist your anesthesiologist better understand your symptoms and history from your perspective.

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Complete all that apply to your medical history. The app covers Patient Information, Symptoms and Medical History, Previous Hospitalizations, Medications Presently Taken, Allergic Reactions, Previous Anesthesia and Form Completion.

This app is easy to use on a smartphone or table. This app is specific to Anesthesia patients.

A GoCanvas account can be specified as being HIPAA compliant. By turning on HIPAA compliance, a number of features that most of users find desirable will be disabled to meet HIPAA Standards. Individual apps in the GoCanvas Application Store can easily be made HIPAA Compliant. If you have any questions or need assistance you can contact our Sales team to help you at Sales@GoCanvas.com. If you would like to enable HIPAA on your GoCanvas account please follow the instructions below:

Log onto your Account Click “My Account” in the top right corner of the screen Click “Customize” on the left The third option is for HIPAA Compliance, click “Edit” on the right Check the “Enable HIPAA Compliance” box and select “Save”
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.*

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