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
SRP_AltLogo2.png All_Bright_Sun.jpg Unknown-1.jpeg BPT_Logo_2-001.JPG CCR_LOGO_PICTURE.png BlissLogo.png OCAT_Logo.jpg PMCC-logo-blueLowResTransparentPNG__1_.png New_Logo_2022__1_.png Revolve_PT.png MtSpoPeds_logo_print_1_.jpg nwsp-logo_color-white.png LOGO.png EyecareAssocLogo-2Lines_3DRGBWEB.jpg IPC.png Kairos_logo.jpg Our_Logo.png LOGO_LO_RES.JPG Reavis_logo.png Color_Logo_JPEG.jpg LOGO.png A-Z_Stone_Oak_Location.png mayer.JPG CMR_logo_JPEG_widescreen.jpg NCCC_Logo_2020.jpg VirtuCareHarmony_Logo.png venus_logo_only.png Orthopaedics-Plus_Logo-37-cropped.jpg Crossroads_Urology_LR__AZ_Rev3_03COPY__1_.png PPInc._Logo.png HVPT-logo__2_.png IPC.png logo-2__2_.jpg LemkeOrthodonD89aR00aP01ZL.jpg Vitruvian_3-1-4.jpg Versa.png AJ.png FD15A9D3-3F85-4D9B-8B95-9460F28A3C07.png Wellness_Life_Center_-_2.png Naturally_Balanced_Logo_Full_Color.png CPMHS_logo.png Modern_PT_Logo_2017_long.png ppt_logo_white_cropped_ver_2.png logo.jpg PPInc._Logo.png Hot-Stone-title-Pic-980x649.jpg DPMD_White_Logo__2_.png Atlas_logo-horizontal.jpg NCCC_Logo_2020.jpg IMG_1259.jpeg Logo_jpeg.jpg EastBayComprC04a-A05aT06a-Z_mdm.jpg A-Z_Stone_Oak_Location.png Logo.png LOGO.png 400dpiLogoCropped.jpg EastBayComprC04a-A05aT06a-Z_mdm.jpg Versa.png FD15A9D3-3F85-4D9B-8B95-9460F28A3C07.png Coast_Logo.png EastBayComprC04a-A05aT06a-Z_mdm.jpg firstfamilydental.png CMR_logo_JPEG_widescreen.jpg jumpstart_2016_logo_001_rev03.jpg Logo_Fax_cover_sheet_text_bigger.png