The dental history tab will collect any information you will need to properly assess your patients and prepare for their visit accordingly. Gain insight into patient oral hygiene habits, oral health history and more.

Health history will collect important information and give you all you’ll need to correctly assess your patients based on their personal health history, as well as the history of any family members. 

This Dental Intake Form Template packet has also included a notice of privacy practices. Make it as easy as possible to inform your patients of any important information regarding your office or privacy policies!

Allow your patients to draw on an image or diagram in your form to mark areas of pain or parts of the body that may need treatment.

With file upload fields, your patients can upload their prescriptions, x-rays, medical records, insurance card photos and more with their form submission.

Easily build fully-responsive medical forms online that allow your patients to sign and submit on any device, anywhere, at any time.