Online Intake Forms

Send secure electronic forms to your clients;
receive them back prior to appointments

Try it for 30 days, no credit card required

A Better Intake Experience


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


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


Don't make your clients do paperwork. Instead, delight them with beautiful electronic forms.

IntakeQ has been a fantastic tool in my practice. I have been pleasantly surprised by how much more quality information I get from patients by using online forms."

Thomas' Picture Thomas Beck, MD
Winston Center

See It in Action

  • HIPAA Compliant
  • E-Signature support
  • Convert your existing forms
  • Integrate with your website
  • Use your own branding
  • Flexible question formats
Try It Free for 30 Days  
No credit card required, no software to install

Remove the paperwork from your intake.
Your clients will thank you.

What Our Clients Are Saying

Bonus Feature:

Appointment Reminders

Reduce no-shows with automated SMS and voice reminders

  • Include reminder opt-in in your form
  • Customize reminder message
  • SMS, voice or email
  • Set it and forget it
  • Reduce cancellations and no-shows
Try It Free for 30 Days  
No credit card required, no software to install
Automated Appointment Reminders
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 for a very small fee.

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
  • 150 submissions/month
  • All Features from Starter
  • Treatment Notes  New
  • Appointment Management
  • Sync with Google Calendar
  • Accept Online Payments
  • 2 Assistant Accounts
  • Accept File Attachments New
    No credit card required