Patient Intake Forms

This application provides a collection of patient intake forms designed to optimize the process of accepting new patients at medical practices. Use these free form templates to increase the efficiency of your practice while improving the overall patient experience.

Caspio’s HIPAA-compliant database platform securely stores all PHI data, so you can spend less time worrying about compliance and more time focusing on high-quality patient care. Contact us to learn more.

Standard Features

• App includes 5 patient intake forms that you can quickly customize to your exact requirements:
  • Primary care visit
  • Injury/chiropractic intake
  • Clinical trial participant
  • Telemedicine consent
  • HIPAA release authorization
• All forms are tablet and mobile-friendly offering a convenient check-in experience.
• Embed as many patient intake forms as you wish, anywhere on your website.
• This app template is free to use in any account, including Caspio’s free online database.

Ideas for Enhancement

• Add or change fields and questions, or create entirely new forms.
• Create multi-step forms to easily transition from one screen to another.
• Redesign all aspects of the interface using Caspio’s visual application development tools.
• Create a staff portal with unlimited users to manage patient information.
• Add email or SMS notifications to alert staff members when forms are completed.
• Combine the patient intake forms with other Caspio-powered healthcare applications to create an entirely custom and HIPAA-compliant solution.