Medical Intake Form

Easily send and receive your medical intake form online. Send patients your intake form to fill out on their phone, tablet, or computer. Patients securely sign and submit completed forms directly to your account. Track the progress of intake forms, send automated reminders, and receive completed medical intake forms online.

Medical Intake Form Template

Medical Intake Form Template

Give patients the freedom to complete medical intake forms with any device, anywhere. Streamline the way you collect intake forms by setting up your forms online. Easily personalize this medical intake form template with a HIPAA compliant form builder.

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What is a Medical Intake Form?

Medical intake forms collect demographic, health history, consent forms, insurance, and other important pieces of information from new and returning patients, prior to their visit.

Medical intake forms collect everything from patients’ addresses, phone numbers and email addresses, medical and social history. Adding an option for patients to upload their insurance cards before the appointment gives you the ability to verify this information, and keep it on file for future appointments.

The medical intake process is often times the first experience the patient has with your practice, and places a critical role in the success of your business. A streamlined medical intake process means shorter wait times for patients, and improves operational efficiency. Gathering clinical data during the intake process means your providers can improve the quality of care and improves your patient satisfaction.

A refined medical intake forms offers the ability to set the tone for your patient’s experience and gives you an opportunity to interact with your patients before stepping foot in your office. By having a high-quality medical intake form, you are communicating to your patient that the level of service you offer is equally as high.

Why Online Medical Intake Forms?

Setup your medical intake forms online and streamline your process of collecting patient information.
Required HIPAA Compliant Online Form Fields
Required Form Fields

Always get the information you need with required fields. Patients can only submit medical intake forms when they complete all of your required fields. Never receive an incomplete medical intake form again.

Required Form Fields »

HIPAA Compliant Electronic Signature
Electronic Signatures

Collect electronic patient signatures before the appointment. Easily give your patients the ability to digitally sign medical intake forms with their phone, tablet, or computer.

Electronic Signatures »

Card Photo Uploads

Have your patient take a picture of their insurance and ID cards. New patients will automatically upload a photo of their card information to your medical intake form, so you can verify it before the appointment.

Card Photo Uploads »

Form Autocomplete

Have your patient enter information once and have it autocomplete throughout your medical intake form online. Automatically populate PHI directly into additional fields and medical intake forms.

Form Autocomplete »

HIPAA Compliant Online Form Submission
Online Form Submissions

Patients sign and submit medical intake forms securely to your online account. Review and manage completed medical intake forms before the appointment.

Online Form Submissions »

HIPAA Compliant Conditional Logic Forms
Conditional Logic Forms

Only show information that is relevant to the patient with conditional logic medical intake forms. Make it simple for your patients to complete your medical intake forms and improve the accuracy of the data you receive with conditional logic.

Conditional Logic Forms »

Setup a medical intake form for free

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More Online Medical Forms

Streamline your medical forms. Automate your paperwork. Start saving time and money.
Telehealth Consent Form Template
Telehealth Consent Form Template

Collect telehealth consent forms online. Send your clients telehealth forms, give clients the ability to sign HIPAA compliant online forms with any device, anywhere.

Telehealth Consent Form Template »

Telemedicine Consent Form Template
Telemedicine Consent Form Template

Easily have patients complete your HIPAA compliant telemedicine consent form with their phone, tablet, or computer. Make it easy for patients to complete your consent forms online.

Telemedicine Consent Form Template »

Medical History Form Template
Medical History Form Template

Turn your paper medical history forms into HIPAA compliant online forms. Streamline your forms by removing the paperwork. Collect a more accurate medical history from your patients.

Medical History Form Template »

Medical Release Form Template
Medical Release Form Template

Turn your paper medical history forms into HIPAA compliant online forms. Streamline your forms by removing the paperwork. Collect a more accurate medical history from your patients.

Medical Release Form Template »

Medical Consent Form for Child Template
Medical Consent Form for Child Template

Have parents and guardians electronically sign medical consent forms for children. Parents and guardians can easily sign HIPAA compliant online forms with their phone, tablet, or computer.

Medical Consent Form for Child Template »

Medical Consent Form Template
Medical Consent Form Template

Easily have patients complete your medical consent form with their phone, tablet, or computer. Make it easy for patients to complete your consent forms online.

Medical Consent Form Template »

COVID-19 Screening Form Template
COVID-19 Screening Form Template

Send patients COVID-19 screening forms to fill out on their phone, tablet, or computer. Safely screen patients for COVID-19 by enabling them to fill out forms on their own device.

COVID-19 Screening Form Template »

Medical Intake Form Template
Medical Intake Form Template

Easily have patients complete your medical intake forms online. Completed medical intake forms are submitted securely to your account, before the patient’s appointment.

Medical Intake Form Template »

Patient Satisfaction Survey Template
Patient Satisfaction Survey Template

Follow up with your patients by sending this patient satisfaction survey. Your patients are your customers and patient satisfaction is critical to ensuring the success of your practice.

Patient Satisfaction Survey Template »

Book a Free Consultation

FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who:

  • Are having patients fill out paper forms during the appointment
  • Are emailing patients a PDF or Word Doc to print out, fill out, scan, and send back
  • Are spending time manually printing and scanning paper forms

Schedule a consultation with us to learn more.