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)

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?

Digital forms for:

  • Medical
  • Dental
  • Chiropractic
  • Law Practice
  • Massage Therapy
  • OB/GYN
  • Physical Therapy
  • Telemedicine
  • Mental Health and more!

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

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 99ยข

The first 15 days* for just $0.99