Medical Intake Form Templates

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

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 secure form builder.

Setup your medical intake form for free

Start saving time and money with FormDr

What is a Medical Intake Form?

Medical intake forms collect demographic, health history, consent, medications, 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 to medical and social history. Adding an option for patients to upload their identification or documents before an appointment gives you the ability to verify this information, and keep it on file for future appointments.

The medical intake process is often the first experience a 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 form offers the ability to set the tone for your patient’s experience and gives you an opportunity to interact with your patients before entering 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.

More Online Forms

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

Telehealth Consent Form

Collect telehealth consent forms online. Send your clients telehealth forms, give clients the ability to sign secure online forms with any device, anywhere.
Patient Intake Form Template

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.
adhd-self-report-form-template

Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist

Give patients the freedom to complete the adult ADHD self-report checklist at the most comfortable an convenient time, with a phone, tablet, or computer. Information is submitted securely and is ready for your review before the appointment.
grief-evaluation-form-template

Grief Evaluation for Children & Teenagers (17 and Under)

Collect valuable information concerning your patient’s grief experience and daily life. Review this information prior to the appointment to guide the conversation.

Edinburgh Postnatal Depression Scale Form

Use this standardized screening checklist to identify postpartum depression symptoms and determine the severity of illness.
Medical History Form Template

Medical History Form

Turn your paper medical history forms into secure online forms. Streamline your forms by removing the paperwork. Collect a more accurate medical history from your patients.
Medical Consent Form for Child Template

Medical Consent Form for Child

Have parents and guardians electronically sign medical consent forms for children. Parents and guardians can easily sign secure online forms with their phone, tablet, or computer.
beck-anxiety-form-template

Beck Anxiety Inventory Form

Give patients the freedom to complete this anxiety inventory at the most comfortable and convenient time, with a phone, tablet, or computer. Information is submitted securely and is ready for your review before the appointment.

Setup your medical intake form for free

Start saving time and money with FormDr

Discover More Form Features

Setup secure online forms. Streamline your process of collecting information.
HIPAA Compliant Tablet Forms

Forms on iPads or Tablets

Give customers, clients, or patients the option to sign and complete online forms with an iPad or tablet. Online forms work on all tablets, regardless of operating system.

Mobile Friendly Forms

Mobile-Friendly Forms

Build fully-responsive online forms that allow your customers, clients, and patients to sign and submit on any device, anywhere, at any time.

HIPAA Compliant File Upload

File Attachment Upload

With file upload fields, your customers, clients, or patients can easily upload documents, pictures, and other items with their online form.

HIPAA Compliant Electronic Signatures

Electronic Signatures

Easily collect electronic signatures from customers, clients, and patients. Anyone can digitally sign from their phone, tablet, or computer.

Schedule a consultation with us to learn more

FormDr gives you everything you need to easily send and receive Secure GPDR compliant forms and documents. We help businesses and practices that:

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