Your intake forms in the cloud

Remove the paperwork from your intake, and improve your client onboarding, follow up, and ongoing interactions with your patients.

See it in action

Eliminate Paperwork

  • HIPAA Compliant
  • e-Signature support
  • Convert your existing forms
  • Integrate with your website
  • Use your own branding
  • Flexible question formats
  • Mobile-friendly

Client Notes and Profile

Use our powerful form engine to create your own progress note templates.

You can then see a client's intakes, progress notes and appointments all in a single place.

Questionnaire Analytics

Get new insights into your practice and clients by using our Questionnaire Analytics to look at aggregate data from your forms.

intakeQ also gives you the ability to use anonymous forms. which are great for surveys, polls and feedback forms.

  Schedule a Demo

Mari Goerlich

Propel Physical Therapy

"Our patients have not missed the clipboards and neither have we!"

Clean and Easy to Use

Reduce no-shows with automated text and voice reminders

We take Immense pride In delighting Our users in every aspect of our service. Don't expect anything less than friendly and intuitive interfaces that don't get In your way and let you get the kph done.

How it Works

Set up your forms

Send us your existing forms or create your own.

Send out your forms

Send forms privately or place forms on your website.

Filling out the forms

Patients fill out your questionnaire and e-sign your consent forms.

Receive completed forms

You'll be notified when a patient completes a form.

Review the forms

Review, add notes, download, or print.

  Schedule a Demo

Insanely Affordable Pricing

No contract. Cancel anytime.

Forms Only

$49.90 / month
  • Unlimited Form Templates
  • Branded Custom Forms
  • Accept Attachments
  • Client and Provider e-Signatures
  • Form Reminders
  • Treatment Notes (SOAP, etc.)
  • Secure Document Sharing
  • Export to PDF/CSV/Dropbox
  • E-Faxing Options
  • HIPAA BAA
  • 2 Assistant Accounts
  • $20 Per Additional Practitioner
FREE TRIALNo credit card required

Starting your business? See our low volume plans.

Forms Onlylow volume

$29.90 / month
10 Form Submissions/month
  • Unlimited Form Templates
  • Branded Custom Forms
  • Accept Attachments
  • Client and Provider e-Signatures
  • Form Reminders
  • Treatment Notes (SOAP, etc.)
  • Secure Document Sharing
  • Export to PDF/CSV/Dropbox
  • E-Faxing Options
  • HIPAA BAA
  • $10 Per Additional Practitioner
FREE TRIALNo credit card required

Starting your business? See our regular plans.