Online Intake Forms
for Health Professionals

Delight your clients with beautiful intake forms

  •    Send forms privately
  •    Embed in your website
  •    Send consent forms
  •    Accept e-signatures
  •    Convert your existing forms
  •    HIPAA Compliant
  •    Accept online booking & payment
IntakeQ screenshot

A Better Intake Experience

Optimize

Reduce paperwork, improve record keeping and save time by automating the intake process.

Plan

Prepare ahead of time and avoid surprises by having the intake form in your hands before each appointment.

Impress

Create positive first impressions with your clients by getting to the root of the problem quicker.

It's 2015
and you're still using paper intake forms?

Woman shocked

Features

HIPAA compliant

We follow all HIPAA guidelines to make sure patient information is always secured.
Learn more.

E-Signature support

Go 100% paperless by using e-signatures in your intake and consent forms.

Conditional Logic

Use conditional skip logic to show/hide questions based on your client's answers.

Convert your existing forms

Get your online intake forms up and running without having to recreate them. We'll convert them for you in just 2 business days.

Integrate with your website

Allow your clients to fill out your forms straight from your website. Instead of downloading your forms, they'll be able to fill it out online.

Send intake forms privately

Alternatively, send forms to your clients directly through IntakeQ's website. Your forms don't need to be public.

Flexible question formats

We support several question types. If you think of something we don't have, let us know and we'll add it.

Customizable headers

Use your own branding in your intake forms. Insert your logo, business information, change colors, and more.

Printer-ready intake forms

Every intake form can be downloaded or printed as a PDF. This includes blank forms and completed forms.

First impressions are incredibly quick
to form and hard to change

Online Booking & Payment

Embed our booking & payment widget in your website

  • Intake Form sent upon booking
  • Accept all major credit cards
  • Easy payment setup with Stripe
  • Sync with your Google calendar
  • Appointment Reminders (SMS & Voice)
  • Flexible hours setup
  • "Fake it til you make it" feature
  • Works on every device
  • Custom cancellation policy
  • Try it free for 30 days
Online Booking and Payment

What Our Clients Are Saying

So what will my forms look like?

See a sample  
Import Intake Forms

We'll convert your forms

No time to recreate your forms? We know you are busy! That's why we offer to convert your existing intake and consent forms within 2 business days.

Send us your forms today and see the magic happen!

30-day trial, full-featured and free, no obligations.

Insanely Affordable Pricing

No contract, cancel anytime.

  • Pro
  • $ 29.90 /month
  • Up to 150 forms/month
  • All Features from Starter
  • Appointment Management
  • Sync with Google Calendar
  • Online Booking Widget
  • Accept Online Payments
  • 2 Assitant Accounts
  • Accept File Attachments New
  • START MY FREE TRIAL  
    No credit card required
  • Who is IntakeQ for?

    IntakeQ was build for anyone who needs to collect private client information securely. This includes nutritionists, counselors, therapists, medical doctors, naturopaths, chiropractors, dietitians, life coaches, etc.

  • Is there a setup fee?

    No. Just sign up and start using it.

  • What is your canceling policy?

    You can go to the subscription section and cancel at anytime. There's no need to pick up the phone.

  • Is there a limit to how many forms I can create?

    No, create as many forms as you need.

  • Can I upgrade or downgrade after I become a subscriber?

    Yes, downgrade or upgrade to a new plan at any time.

  • Can I import my existing forms?

    Yes. When you become a subscriber, we will convert one form for free. If you have multiple forms, we charge a nominal fee of $9 per form.

  • How does the free trial work?

    You can use all features of IntakeQ during your trial period, including the booking widget.

  • Do I have to start my forms from scratch?

    No. We can convert your forms for you, or you can import pre-existing questions from our questions database and tweak them to your own liking.

  • Is IntakeQ HIPAA compliant?

    Yes, we are HIPAA compliant. Learn more about it here.

  • Will IntakeQ sign a BAA?

    Yes, we will sign a Business Associate Agreement.