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

Still scanning your patient’s insurance card? Simplify your insurance intake by allowing your patient to take a picture of their insurance and ID cards directly to your forms online.
New patients will automatically upload a photo of their information, so you can verify it before the appointment. Save time by collecting information via card photo uploads online and having patients submit your forms directly to you.
The insurance form can be completed by a patient as part of the intake process or any time insurance coverage changes. It requires all necessary information to contact, confirm coverage, and bill the insurer.
Today, approximately 90% of U.S. residents have health insurance with significant gains in health coverage occurring over the past 5 years. Health insurance facilitates access to care and is associated with lower death rates, better health outcomes, and improved productivity.
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.

Ask your patient for a driver’s license with their signature. Confirm that the correct person has signed your forms by comparing the signature on the forms with the signature on the driver’s license.
Add an extra level of security and compliance by verifying your patient’s signature.
Have your patient enter information once and have it autocomplete throughout your medical form online. Automatically populate PHI directly into additional fields and medical consent forms.
Easily build HIPAA compliant online forms. No coding is required to create secure online intake forms for your patients. All patient form submissions are encrypted in transit and rest. A Business Associate Agreement is included with your service.
Quickly export complete patient forms to a PDF file. Save completed forms as a PDF to quickly attach patient records.
Create your own custom ‘Thank You’ page to direct patients to upon completion of your forms. Forward them along to the next steps of your intake process.
FormDoctor gives your practice one HIPAA-compliant platform to collect forms, communicate with patients, and automate follow-up. We help practices who: