Online Intake Form

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

Online Intake Form

Online Intake Forms by Industry

Setup online intake forms for your specific practice type, streamline your forms to fit your exact needs.
Dental Intake Form

Dental Intake Form

Start collecting demographic, dental history, and collect insurance information. Have patients upload their dental insurance directly to your dental intake forms.
Medical Intake Form Template

Medical Intake Form

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

Chiropractic Intake Form

Start collecting chiropractic forms from patients before the appointment. Set up a HIPAA compliant online chiropractic form template and customize them to fit the needs of your specific practice.
Counseling Intake Form

Counseling Intake Form

Easily have clients complete your counseling intake forms with their phone, tablet, or computer. Make it easy for clients to submit HIPAA compliant forms online.
Optometry Intake Form

Optometry Intake Form

Give your optometry patients the freedom to complete your forms with any device, anywhere. Collect completed optometry forms before the appointment.
Orthodontic Intake Form

Orthodontic Intake Form

Are you still having your patients complete paper orthodontic forms? Streamline your forms and go paperless, collect orthodontic patient history and demographic information online.
Patient Intake Form

Patient Intake Form

Easily have patients complete your patient intake forms online. Completed patient intake forms are submitted securely to your account, before the patient's appointment.
Physical Therapy Intake Form

Physical Therapy Intake Form

Have physical therapy patients complete forms before the appointment. Setup required fields so you never get an incomplete physical therapy intake form again.
Psychiatric Intake Form

Psychiatric Intake Form

Streamline your psychiatric forms by setting them up online. Have patients securely complete and sign HIPAA compliant psychiatric forms.

Build an online intake form for free

Start saving time and money with FormDr

Why HIPAA Compliant Online Intake Forms?

Streamline your intake forms online. Automate your new patient paperwork. Start saving time and money.
Required HIPAA Compliant Online Form Fields
Required Form Fields

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

Required Form Fields »

Intake Form Packets

Combine multiple pages into an online intake form packet. Have your patients fill out their medical history, consent to treat, and demographics all in one new patient intake form packet online.

Intake Form Packets »

HIPAA Compliant Electronic Signature
Electronic Signatures

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

Electronic Signatures »

HIPAA Compliant Form Builder
HIPAA Compliant Form Builder

Easily build online intake forms. No coding is required to create secure intake forms online for your patients. All patient form submissions are encrypted in transit and rest. A Business Associate Agreement is included with your service.

HIPAA Compliant Form Builder »

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 online 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 online intake forms. Automatically populate PHI directly into intake forms online.

Form Autocomplete »

They love FormDr - and so do their patients

  • Not having an online custom form to offer patients was a huge struggle. FormDr makes paperwork seamless and saves a ton of time and money by allowing us to upload to patients EMR rather than print, fill out, scan, and then attach. That is now a hindrance of the PAST!

    Woodlands Dermatology
    Angela H.
  • Patients can fill out the forms at their leisure, and don’t have to print anything. We’re collecting more completed forms than ever, and patients love not having to do anything when they come to the office for the first time.

    FYZICAL MetroWest
    Lauren A.
  • FormDr allows me to send and receive attractive, professional forms from patients. Very helpful that I can remind patients of their appointment time and check the status of the form.

    Banks Hepatology Institute PC
    Alpha B.
  • Sending a PDF was too time consuming for the patients to do, and it required the additional steps of printing and scanning it into our own systems. FormDr made it easier to get patients to complete the forms by email, and it’s a more secure way to provide info than simply emailing back a completed PDF.

    Reload Therapy
    Angie I.
  • Before FormDr, the most common struggle were our patients taking a long time to complete forms in our office. Now patients are able to be seen faster when forms are completed prior to visit. Very easy service to create forms online!

    Skin Science Dermatology
    Courtney M.
  • The support is second to none. FormDr has been instrumental in streamlining our intake of new patients.

    Lang Orthodontics
    Eric L.
  • Before, clients weren’t signing our forms before the appointment. FormDr has allowed us to share our documents for client review and signatures. I really appreciate the support, it has been super helpful simplifying our forms!

    Meridian Behavioral Health
    Laura W.
Schedule a consultation with us to learn more

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