Medical Intake Form

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

Medical Intake Form

Medical Intake Form Template

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

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More Online Medical Forms

Streamline your medical forms. Automate your paperwork. Start saving time and money.

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Medical Consent Form

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

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Medical Release Form
Medical Release Form

Turn your paper medical release forms into online forms. Streamline your forms by removing the paperwork. Easily collect medical release forms from your patients with any device, anywhere.

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Medical Consent Form for Child
Medical Consent Form for Child

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

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What is the Medical Intake Form?

A medical intake form is used to collect a new patient’s demographic, medical history, insurance information, and signatures for medical consent forms.

Medical intake forms can consolidate paperwork for new patients at medical practices and clinics. Streamlining new patient forms improves the patient experience, and well thought out medical intake forms are important for a smooth-functioning office. If you streamline your medical intake forms, they will be one of the most valuable tools for collecting all the information you need from new patients.

Intake forms are one of the first opportunities for new patients to interact with your brand. Ensure that your medical intake form is consistent with the rest of your website, logo, and brand styling. Adding styling and branding to your new patient forms will create a seamless experience.

Insurance information can be collected through your medical intake form. Online intake forms allow for new patients to take a photograph of their insurance information, and upload it directly to your form.

One of the most effective ways of streamlining your medical intake forms is to add conditional logic to your forms. Conditional logic allows you to show or hide fields depending on what the patient selects. For example, you may have a question asking if the patient has had a major surgery, if the patient selects ‘Yes’ then additional fields may drop down asking them of the surgery type and the date of the surgery. If the patient selects ‘No’ then these fields will not be shown to the patient.

Book a Free Consultation

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

  • Are having patients fill out paper medical forms during the appointment
  • Are spending time manually printing and scanning paper forms
  • Are having patients fill out a PDF/Word Doc and send it back

Call us to learn more (800) 578-4202

Why Online Medical Intake Forms?

Setup your medical intake forms online and streamline your process of collecting new patient forms.

Require Fields

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

Form Tabs

Combine multiple pages into a single form. Have your patients fill out their medical history, sign consent, and record release authorizations all in one medical intake form.

Electronic Signatures

Have patients electronically sign their names online. Patients easily sign your medical intake form with their phone, tablet, or computer. Collect patient signatures online from any device, anywhere.

Autocomplete Fields

Have your patient enter information once and have it autocomplete throughout your medical intake form. Automatically populate data into fields and paragraphs of authorization text.

Card Photos

Have your patient take a picture of their insurance, ID, or credit card. Your patients will automatically upload a photo of their information directly to your medical intake form.

HIPAA Compliant

Emailing medical intake forms risks the interception of PHI. FormDr is HIPAA compliant, all patient data is encrypted in transit and rest. A Business Associate Agreement is included with our service.

Book a Free Consultation

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

  • Are having patients fill out paper medical forms during the appointment
  • Are spending time manually printing and scanning paper forms
  • Are having patients fill out a PDF/Word Doc and send it back

Call us to learn more (800) 578-4202