DIGITAL INTAKE FORMS

  • Create

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

  • Send/Publish

    Send forms through the app or
    Place form links anywhere.

  • Receive

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

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  • Secure

    HIPAA Compliant
    Bank Grade Encryption                                       

  • Extras

    Google Map
    Free Support
    Unlimited Submissions

  • Advantages

    Enhances Efficiency
    Only a Browser and internet connection needed.

DIGITAL INTAKES METHODOLOGY

We've delivered Patient Intake Solutions for 23 years to over 10,000 practices Nation-wide.

COMMUNICATION
IS KEY

Have a quick question? Send us an email and receive a quick reply.
Need more extensive support? Call us, we'll be happy to help.

SETUP IS FAST
AND EASY

Quickly setup your FREE account and have clients filing out digital forms in minutes.

KEY POINTS

1-800-99Forms

1-800-993-6767

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Click
For
Sample

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 setup and maintain. Sign up now. For just $16.90 per month your practice gets unlimited submissions and all the features and security for less than half of what our competitors charge.