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
transparent_logo__1_.png Digital_Inputs_Sonia_Bautista_Logo.png Large_Logo.JPG MtSpoPeds_logo_print_1_.jpg Precision_Physio_Logo.jpg Precision_Physio_Logo.jpg SchmidLogo.jpg SRP_AltLogo2.png nwsp-logo_color-white.png IMG_6061_resized_under500.png EyecareAssocLogo-2Lines_3DRGBWEB.jpg Logo.png Untitled_design__2_.png AcademyABA_Logo.jpeg.png final-logo_with_full_name_SFC.jpg STAR_PT_logonoback.jpg Logo_-_color.jpg Twitter_Header_Image.png firstfamilydental.png AMGLogoImage.png logo.JPG Screenshot_2024-12-11_155820.png logo.jpg SRP_AltLogo2.png Orthopaedics-Plus_Logo-37-cropped.jpg Copy_of_Copy_of_Copy_of_Copy_of_Copy_of_Copy_of_Rising_Lotus.png transparent_logo__1_.png LOGO2.jpg Modern_PT_Logo_2017_long.png Coast_Logo.png SIsunlogo_email.jpg PRO_Physical_Therapy_Logo_long.png BWCC_Logo.jpg chiro_logo_16x9.png IMG_8134.jpeg Untitled.png Reavis_logo.png LOGO.png Carillon_Logo_small.jpg 1Banner-2.png icon-dc.png CIT_Logo_White_Background.png SPEECH_THERAPY.png Color_Logo_JPEG.jpg Logo__3_.png Logo_-_color.jpg Made_To_Move_Pediatric_Therapy-01.jpg Logo.png NCCC_Logo_2020.jpg AMITY_LOGOjpeg.jpg logosfull_color.jpg MtSpoPeds_logo_print_1_.jpg Good_Vibrations__2_.png IMG_2716.jpeg Small_Tree_In_Hand.jpg Wellness_Life_Center_-_2.png Seastepslogo.jpeg Body_In_Motion_Final_Logo.png IMG_6329.PNG 1727374556467-c97fedd7-ea67-48f4-8822-5e4abe6ec74d_1.jpg CHOICE_LOGO.png Tanager_logo_3.7_x_1.png Facebook_Profile_Picture__1_.jpg CCR_LOGO_PICTURE.png Twitter_Header_Image.png