Give your patients the freedom to complete adult ADHD self-report checklists with any device, anywhere. Streamline the way you collect important self—assessment information by setting up your form online.
Easily personalize this template with a HIPAA compliant form builder.
Many adults suffer from ADHD, which can affect relationships, jobs, and success in many areas of life. This standardized self-assessment form helps adults document the symptoms they are experiencing and helps guide the treatment team as the evaluation continues.
It is never too late to seek a diagnosis and treatment for ADHD and any other mental health condition that my occur with it. Effective treatment can make day-to-day life easier for many adults and their families.
The liability falls on you to handle patient data in a compliant way. Patient privacy is a serious topic, legislation from the Health Insurance Portability and Accountability Act to the Patient Protection and Affordable Care Act place heavy fines on medical professionals who mistreat patient information.
A medical release form does not empower your staff to share patient information with just anyone. Depending on what is included in the form, the document may release medical information to the patient’s family, other doctors, insurance providers, attorneys, or anyone who may make healthcare decisions on behalf of the patient.
Configure a HIPAA compliant form kiosk page to display new patient registration forms, consent forms, and more.
All PHI is encrypted in transit and at rest—while being submitted back to your account and at rest in our database. Protect sensitive data with fully encrypted patient submissions.
Send a prefilled contracts, agreements, and forms to have patients securely sign forms customized for them. Create financial contracts with pricing specific to the patient.
Generate a unique QR code to print and/or share with patients. They can point, scan and access intake forms easily.
FormDr gives your practice everything needed to easily send and receive HIPAA compliant forms online. We help practices who: