Intake forms made easy

Intake forms
made easy

Practitioners are rethinking the way they gather and confirm protected patient data. Digital Intakes creates a customizable and secure interaction for faster response to clients, a gain in efficiency, and a reduction in errors. No coding or IT required. Set up takes minutes!

The first 15 days* for just $0.99

*($19.90 per month)

Getting Started

Follow our simple 5-step process to sign up, customize, and securely share your forms—whether through the app or as shareable links.

New!

Add Ons

Additional Clipboards:

Expand your capacity to manage forms across multiple locations or departments with Additional Clipboards. Ideal for practices, clinics & businesses. Allocate separate clipboards for different practitioners to streamline form processing & organization.

Extended storage:

Ensure ample time to process your digitally submitted forms. Ideal for practices/businesses who require data stay stored in the cloud for up to six months, ensuring easy access and retrieval when needed.

Send forms via SMS/Text:

Simplify the form submission process for your clients or patients by enabling the option to send form links directly via SMS/Text. Enhance convenience and accessibility, allowing recipients to complete forms on their mobile devices anytime, anywhere.

Upload Questions:

Customize your forms with Upload Questions, allowing clients or patients to securely upload documents or files directly within the form. Streamline data collection and improve efficiency by gathering essential information such as insurance cards, identification documents, or medical records.

The most convenient method to Intake Forms

SECURE

HIPAA Compliant Bank Grade Encryption.

SEND/PUBLISH

Send forms through the app or place form links anywhere.

ADVANTAGES

  • Enhances Efficiency
  • Patient's love it!

EXTRAS

  • Google Map
  • Free Support
  • Unlimited Submissions

CREATE

No coding. Free Templates Forms that work on any size display.

RECEIVE

Notifications received upon form completion. Be better prepared. Process forms before they arrive.

How does Digital Intakes Work?

Reduce Paperwork

  • No more scanning & shredding
  • Saves time and money
  • Convert your existing forms
  • Send one form or a group of forms
  • Save on envelopes and postage
  • Go Green!
  • Tablet compatible

Security is our first priority

Sending sensitive data through unsecure channels like email or unencrypted web pages puts your clients information at risk and is not HIPAA compliant. To do it the right way is expensive to set up and maintain. We offer great digital forms with all the built-in security for just $19.90 per month. Sign up now.

  • HIPAA / HITECH Compliant
  • Multi-layered Security
  • Bank Grade Encryption
  • Email/SMS Authorization required for access
  • Enhanced server protection
  • Servers under armed guard protection
  • Controlled associate access
  • Device/Computer Authorization required for access

Simplify Your Practice with Online Forms

Welcome to Digital Intakes, your partner in streamlining intake processes for various specialties. Our intuitive platform offers easy-to-use digital forms tailored to your practice's needs. Whether you're in healthcare, law, or another field, we're here to help you save time and resources.

Getting started is easy! Sign up for Digital Intakes, and you can try it for just $0.99 for the first 15 days. Once registered, you can access our user-friendly platform.

Absolutely! In the 'Edit Client Landing Page' section, you can upload your logo and choose your brand's colors to create a professional and cohesive patient experience.

We offer a wide range of forms, including patient intake forms, surveys, employment applications, and more. You can customize these forms to suit your practice's unique needs.

You can easily add forms to your website by utilizing the 'Get Link' function, which generates a unique link to embed in your website's source code.

All submitted forms are available in your Clipboard, our account dashboard. You can view, download, and process the submitted data from there.

After submission, the system generates PDF or CSV files containing the submitted data, making it convenient for your practice's record-keeping.

No, there are no limits! You can send and receive forms without restrictions, making Digital Intakes a flexible solution for your practice.

Our pricing is designed to be affordable. After the 15-day trial, it's just $19.90 per month for unlimited access to our platform.

Not only do we love it, so do our patients. Customer service has been above and beyond. We are very happy and highly recommend Digital Intakes.

Susan,
Knapp Chiropractic

Key points

1-800-99Forms

1-800-993-6767

Click for sample
  • Reduces No-Shows & Cancellations
  • Creates form links for your website
  • HIPAA/HiTECH Compliant
  • Works with your Existing Software
  • Ready to use Forms or Create your own
  • Enhances Efficiency
  • Optimizes Client Flow
  • Unlimited Submissions
  • Invitation System with Automatic Reminders
  • Free Setup and Support (800) 993-6767

$19.90 per month

No term commitment/cancel anytime
No Setup fee/Easy setup takes 5 minutes
Sign up today and get the first 15 days for just 99¢

The first 15 days* for just $0.99
Logo_-_color.jpg nwsp-logo_color-white.png Devine_Grace_Behavioral.png Logo_2.jpg MtSpoPeds_logo_print_1_.jpg Portera_Logo.png SchmidLogo.jpg SRP_AltLogo2.png VirtuCareHarmony_Logo.png Logo_small.png Massage-Elite-Logo_RGB.jpg MtSpoPeds_logo_print_1_.jpg A-Z_Stone_Oak_Location.png Eohfamilies.png pt-360color-150.jpg 1727374556467-c97fedd7-ea67-48f4-8822-5e4abe6ec74d_1.jpg Precision_Physio_Logo.jpg transparent_logo__1_.png A-Z_Stone_Oak_Location.png My_Post.jpg jumpstart_2016_logo_001_rev03.jpg EyecareAssocLogo-2Lines_3DRGBWEB.jpg Untitled-13a.png speechbuilders-150x150.jpg PPInc._Logo.png PPInc._Logo.png Reavis_logo.png kane.jpg Unknown-1.jpeg CPMHS_logo.png APT-horizontal-no_bg.png Logo_-_color.jpg chiro_logo_16x9.png southampton_community_healthcare_logo.png Digital_Logo.png Large_Logo.JPG Logo_-_color.jpg Logo_-_color.jpg Color_logo_-_no_background.png plastic-surgical-logo.jpg Logo.png CMR_logo_JPEG_widescreen.jpg Modern_PT_Logo_2017_long.png CPMHS_logo.png C064D369-F716-4E58-8ECA-0B4DF549809A.png GFD_Logo.png IMG_2716.jpeg supreme_speech.png CCR_LOGO_PICTURE.png PRO_Physical_Therapy_Logo_long.png Seastepslogo.jpeg MWL_Logo_2.png Jovahn-Wiggins-headshot.jpg LOGO.png HTPT.png AMITY_LOGOjpeg.jpg PioneerChiro.png Illuminate-Benefits-Group_Google_Logo.png Our_Logo.png CitySmiles_Revised2012tanResized.jpg LOGO.jpg 3rd_and_Sherman_Medical_Plaza_-updated_7.22.2020.png Logo_Fax_cover_sheet_text_bigger.png IMG_4052.JPG