Let’s Troubleshoot Your Clinical App – Share the Details

This form is designed to help our support team gather detailed information about issues you are experiencing with our clinical communication application. The more information you provide, the faster and more effectively we can assist you.


Please Note: This form is for technical support issues only. For any medical or clinical questions, please contact your healthcare provider or organization directly.

User Details

Full Name:

Email Address:

Associated Healthcare Organization:

Your Role:

Unique User ID:

App and Device Information

App Name:

App Version Number:

Operating System:

Device Model:

Is the device managed by your organization?

Problem Description

Severity of Issue:

Type of Problem: (select all that apply]

Detailed Problem Description:

Please describe the issue in as much detail as possible. What were you trying to do, and what happened instead?

Clinical Context:

Is this issue affecting patient care?

Steps to Reproduce the Problem

This is the most critical section for our technical team. Please provide a clear, step-by-step guide to recreating the issue.


Step-by-Step Instructions:


Example: "1. Open the app. 2. Tap on the patient's chart. 3. Select 'Send Message'. 4. App crashes."

Steps

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Frequency of the Problem:

When did the problem first occur?

Any recent changes to your device, network, or the app before this happened? (e.g., a new app update, a new hospital network).

Technical and Supporting Information

Connectivity Details:


Are you connected via Wi-Fi or cellular data?

Have you tried switching between Wi-Fi and cellular data to see if the problem persists?

What have you already tried to resolve the issue?


Attachments (Optional but highly recommended):


Please attach screenshots or screen recordings that show the problem. This can be extremely helpful for our team.

Description / File Name

Upload File

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I confirm that I have read and understand that this form is for technical support only, and I will not include any Protected Health Information (PHI) or confidential patient data in this form or its attachments.


App Support Form Insights

Please remove this app support form insights section before publishing.


Based on the clinical communication app support form you provided, here are detailed insights into its structure, effectiveness, and key considerations for a support team.

1. Comprehensive Triage and Categorization

The form is highly effective for initial triage. By breaking down the problem into different categories and a severity rating, it allows a support team to:

  • Prioritize Immediately: A "Critical" issue, especially one tied to "Login/Authentication" or affecting "patient care," can be flagged for immediate attention. This prevents the support team from spending time on minor UI bugs while a major clinical workflow is down.
  • Assign to the Right Team: The "Type of Problem" checkboxes are crucial. A login issue might be routed to a security or backend team, while a UI issue goes to a front-end or design team. A problem with EMR/EHR integration would likely go to a dedicated integrations support specialist. This prevents misrouting and speeds up resolution.
  • Identify Trends: Over time, the data from this form can be analyzed to identify common issues. If a significant number of users report "Messages not sending," it's a clear signal to the product and engineering teams that there may be a widespread bug in a recent update.

2. Emphasis on Reproducibility

The "Steps to Reproduce the Problem" section is arguably the most valuable part of the form. A support ticket that says "The app crashes" is nearly useless. A ticket that says "The app crashes when I tap on a patient's chart after logging in from a public Wi-Fi network" provides the key variables needed for a developer to replicate the issue in a test environment.

  • Action-Oriented Language: The use of clear, numbered steps guides the user to provide actionable information.
  • Contextual Details: The questions about "Frequency" and "When did the problem first occur?" help the team understand if the issue is a one-off fluke, a persistent bug, or a recent regression caused by a new app version.

3. Strategic Data Collection

The form collects data that goes beyond a simple bug report, providing a holistic view of the user's environment.

  • User and Role Context: Knowing the user's "Role" (e.g., Physician, Administrator) is vital. A login issue for a physician might be a high priority, while the same issue for a non-clinical user might be a lower priority. It helps the support team understand the user's workflow and potential impact.
  • Device and App Specifics: Collecting the "App Version," "OS," and "Device Model" is standard but essential. This information helps troubleshoot device-specific bugs or identify if a problem is tied to an outdated app version or a known OS bug.
  • Network Environment: The questions about "Connectivity Details" are a masterstroke for a clinical communication app. Many issues are not with the app itself but with a hospital's restrictive network firewall, a weak Wi-Fi signal, or a public network's security settings. This helps the support team rule out or confirm network-related problems immediately.
  • Clinical Impact: The question, "Is this issue affecting patient care?" is a powerful filter. A "Yes" answer automatically escalates the priority and justifies a more urgent response from the support team. This is a crucial element for any app operating in a clinical context.

4. User Guidance and Empowerment

The form is designed not just to collect data, but to guide the user toward a solution or a better report.

  • Proactive Troubleshooting: The "What have you already tried?" section serves a dual purpose. It prevents the support team from asking the user to perform basic troubleshooting steps (e.g., "Have you tried restarting the app?") and also subtly educates the user on common first-aid steps for app issues.
  • Importance of Attachments: Explicitly asking for screenshots and screen recordings communicates their value to the user. Visual evidence can often explain a problem far better than a text description.
  • Clear Privacy Warning: The disclaimer about not including Protected Health Information (PHI) is non-negotiable for a clinical application. This protects both the user and the company from potential HIPAA (or similar regulations) violations and demonstrates a commitment to data security.

5. Potential Areas for Refinement

While the form is excellent, a few minor refinements could make it even better:

  • Conditional Logic: While not visible in a static form, a dynamic form could use conditional logic. For example, if a user selects "Calls (Voice/Video)," the form could dynamically reveal a new section with questions like "Are you using a headset or your device's speaker?" or "Is the issue with audio, video, or both?"
  • Log Files: For a more advanced support process, the form could include an option to "Send Logs" from the app itself (with user permission). This would provide invaluable technical data that a user couldn't describe, such as API response times, crash reports, and error codes.
  • Structured Contact Information: While "Full Name" and "Email" are there, in a large healthcare organization, adding fields for a "Department/Unit" or a "Supervisor/Contact Person" could be beneficial for internal escalation.

Mandatory Questions Recommendation

Please remove this mandatory questions recommendation before publishing.


Based on the provided form, here are the mandatory questions and the reasoning behind their necessity for effective support.

Mandatory Questions and Elaboration

1. Full Name & Email Address

  • Why it's mandatory: These are the most basic and critical pieces of information for communication. The support team needs to know who to contact and how to reach them to follow up on the issue, request more information, or provide a resolution. Without this, the support ticket is anonymous and cannot be resolved.

2. App Name & App Version Number

  • Why it's mandatory: This information is fundamental for diagnosing any technical issue. Different app versions may have different bugs, features, or backend dependencies. A bug in version 2.5.1 might have already been fixed in version 2.5.2. Without knowing the version, the support team cannot look up known issues or confirm if the user needs to update their app.

3. Operating System (e.g., iOS, Android) & Device Model

  • Why it's mandatory: This helps the support team to identify device-specific or OS-specific bugs. An issue with push notifications might be related to a specific version of Android, while a UI layout problem might only occur on a particular screen size of a certain device model. This data is essential for recreating the user's environment in a testing scenario.

4. Detailed Problem Description

  • Why it's mandatory: This is the core of the support request. A user must articulate what is wrong. While other questions help categorize and narrow down the problem, this text box provides the narrative and context. Without a description, the support team has no idea what the user is trying to report.

5. Steps to Reproduce the Problem

  • Why it's mandatory: This is the most crucial question for a technical support team. A bug is only truly diagnosable if it can be consistently reproduced. This question forces the user to think through their actions and provide a clear, step-by-step path that a developer or QA tester can follow to see the issue firsthand. Without this, the issue is often a "ghost" bug that cannot be solved because it cannot be seen.

6. I confirm that I have read and understand that this form is for technical support only, and I will not include any Protected Health Information (PHI) or confidential patient data in this form or its attachments. (I Agree checkbox)

  • Why it's mandatory: This is a non-negotiable legal and security requirement for any clinical application. It serves as an explicit disclaimer and requires user consent. It protects the company from legal liability related to PHI (Protected Health Information) being submitted through a non-secure channel. It also educates the user on data privacy best practices, which is paramount in a clinical context. The user must actively consent to this before the form can be submitted.
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