Patient Intake Form

We are experts at providing the best intake experience for your patients while offering you an easy and secure way to collect and manage their information.

Patient intake is the first, and often overlooked, interaction between you and your client. We believe that making this interaction as good as it could be is the perfect start for a long lasting relationship.

IntakeQ gives you the ability to have electronic intake forms that your patients can safely fill out in the comfort of their homes. This method offers a wide range of benefits:

• More convenient for the patient
• You'll receive the intake form before the appointment
• Reduced costs compared to paper-based systems
• Patients tend to write more on electronic forms
• Huge time saver  (no more transcribing or scanning)
• No more paperwork!

These are just a few of the advantages reported by our customers.

So how does it work?

1) The first step is to create your intake package, consisting of an intake form and as many consent/agreement forms as you need (consent to treatment, office policies, HIPAA release, etc). Alternatively, you can send us your existing forms so we'll create the package for you.

2) Once your forms are set up, you can send them privately to your patients or put them on your website.

3) As soon as a patient completes and submits an intake package, you receive a notification and the documents become available in your IntakeQ account.

4) You can then review it, add note to it and export to PDF. Many of our clients download the intake form and upload it to their EHR system, including the e-signed consent forms and agreements.

What would my forms look like?

Besides being practical and efficient, our forms are gorgeous, and they can be customized to match your own branding.

If you were to hire a designer and a developer to build custom forms that are not only beautiful, but HIPAA compliant, you would be spending thousands of dollars.

What customers say about IntakeQ

We get a lot of love from our customers . Here's one example of what one of our clients have to say about our service:

We are so happy to have found IntakeQ!  Their system makes it really simple to create custom and professional forms that patients can easily complete online.  The team is incredibly quick to respond with any questions or concerns on how to make them just right. Their customer service is amazing - I wish the rest of the healthcare field could be so easy to work with!  With IntakeQ, patients can submit forms securely prior to their appointments.   This streamlines the whole intake process as we can get each patient entered into our EMR system, verify their insurance and identify any additional forms that might be required before they come in. It cuts down on their wait time tremendously and boosts their experience at our clinic!  Our patients have not missed the clipboards and neither have we! Don’t hesitate to try them out - you won’t be disappointed!

If you're not sure whether online patient intake forms are for you or not, give it a 14-day trial. You can try IntakeQ risk-free and see the benefits for yourself.