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Colonoscopy Medical History

Asks about reason for colonoscopy, current GI symptoms, and previous colonoscopy date. Built for gastroenterology medical practices.

Questions
9
Page
1
Time
about 2 min

Includes

  • Medication list
  • Conditions checklist
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Your practice

Colonoscopy Medical History

Live preview. Tap through it like a patient.

Who it is for

  • Gastroenterology medical practices
  • Ambulatory endoscopy centers
  • Hospital-based GI departments
  • Colorectal surgery practices
  • Primary care offices coordinating screenings

What's inside

  1. Patient Full NameText · Required
  2. Date of BirthDate
  3. Reason for ColonoscopyLong Text
  4. Current GI SymptomsConditions
  5. Previous Colonoscopy DateDate
  6. Polyp or Cancer HistoryLong Text
  7. Family Colorectal Cancer HistoryLong Text
  8. Current MedicationsMedications
  9. Anticoagulant UseLong Text

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Colonoscopy Medical History, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

Related templates

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Questions

Responses are encrypted, only your team can see them, and a BAA is included.

Yes. You can add, remove, reorder, or reword any of the 9 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Yes. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Send it before the visit, so patients arrive ready.

Book a short call and we will set up the Colonoscopy Medical History for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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