The digital patient intake form template

Streamline patient intake and eliminate bottlenecks to patient care with the digital patient intake form. Securely empower patients to enter their personal information, medical history, and symptoms, from any location, prior to their appointments.

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Collect patient intake data ahead of appointments

Allow patients to access patient registration documents ahead of their appointments with Public Form links to patient intake documents on your website, from confirmation emails, and more.
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Accelerate patient intake

Digital Patient Intake forms allow for the rapid collection, review, and processing of medical history data – accelerating patient intake and reducing administrative demands.

Simplify processing and record-keeping

Submitted Patient Intake forms can be instantly routed to administrators, immediately accessed for processing, and automatically uploaded to connected systems.

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To have the Patient Intake Form template added to your account please contact GoFormz Support

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Capture patient signatures electronically

Ensure patients have signed important intake and history documents with HIPAA-compliant electronic signature capture.
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HIPAA-compliant digital patient intake

With the GoFormz HIPAA compliance configuration, medical history, intake, insurance, and HIPAA authorization forms can be securely completed from anywhere.
Learn about HIPAA configurations

A digital patient registration form on a smartphone next to a HIPAA badge denoting GoFormz is HIPAA-certified.

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