HEALTHCARE APPROVAL FLOW

Automate your hospital management approval flow

Create automated approval flows for your healthcare organization with Data Interactive Approvals. Our healthcare workflow solution allows you to collect requests for medical supplies, appointment bookings, and more — and automatically assign submissions to members of your organization for approval.
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Approve COVID-19 test requests

Make sure patients get the medical tests they need. Collect and respond to requests for COVID-19 tests fast with our ready-to-use template.
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COVID-19 Test Request Form

    Patient Data



    First Name


    Last Name




    Date


    Please enter a valid phone number.


    example@example.com


    Street Address

    Street Address Line 2

    City

    Province / State

    Postal/Zip code



    Health Related Data





    Date




    Date




    Acknowledgment and Consent


      COVID-19 Vaccine Appointment and Consent Form

      In order to receive the vaccine, you must be in the most appropriate phase of the vaccine rollout. Visit this link (https://www.cdc.gov/coronavirus/2019-ncov/vaccines/recommendations.html) for more information at the federal level. States and/or local authorities may have a different approach. Be prepared to show identification to justify your qualification to receive the vaccine.


      First Name

      Middle Name

      Last Name


      Street Address

      City

      State Initials

      Postal / Zip Code


      example@example.com







      Required for proper vaccine documentation


      If you would like to have a copy of this record sent to your Primary Care Provider, please provide name here.








      YesNo

      COVID-19 Vaccine Screening Questions (If you answer “yes” to any question, it does not necessarily mean you should not be vaccinated. It just means additional information may be necessary before vaccination.)











      Consent (check each box below after reading and prior to signing the form)









      The vaccine is available to anyone no matter if insured or uninsured. Since you indicated you have insurance, please read and check this box.




      Streamline Appointment Scheduling

      Simplify appointments with an automated approval flow template you can customize for your needs to get patients their vaccinations faster.
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      Get informed consent online

      Obtain patient signatures through your online forms and automatically send them to assigned healthcare providers for confirmation.
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        COVID-19 Treatment Consent Form



        First Name


        Last Name


        example@example.com


        Date