Online Intake Forms

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

  • Streamline your patient intake
  • Eliminate paperwork
  • Avoid surprises
  • Stay compliant

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

Thomas' Picture Thomas Beck, MD
Winston Center

See It in Action

IntakeQ screenshot
  • Convert your existing forms
  • Integrate with your website
  • 100% customizable
  • HIPAA compliant
  • Bonus: Appointment Reminders
Try It Free for 14 Days
No credit card required, no software to install

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

© IntakeQ 2015. All rights reserved