Patient Intake Information

Form Template

Say goodbye to paper patient intake forms that need to be manually inputted into your electronic health information system.

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The patient intake app simplifies the patient intake process - just generate a new form using your smartphone or tablet, and you'll have access to an electronic patient intake form that can be printed off as a PDF document and given to nursing staff and physicians during the check-in process.

Reduce paper work and improve medical care before the appointment even begins by tracking all important patient details electronically. The patient intake app can be used to assist health care providers during the check-in-process and helps ensure that all health and medical history records are properly tracked and added to the patient's medical records before the appointment begins. Healthcare organizations can customize the client intake form to ensure they have the most accurate data they need in order to deliver the best care.

who are treating patients after a car accident, to help manage new patients in physical therapy clinics and to track patient care in mental healthcare facilities. With the app, it's always easy to generate new patient intake forms in any setting.

There are even more best-selling patient management apps you might enjoy! If you need a different type of mobile form, check out our patient care report template.

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  • iPhone
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*The Capterra SoftwareAdvice ​and GetApp logos are a service mark of Gartner, Inc. and/or its affiliates and is used herein with permission.*

Don't take our word for it...

“I’m not a tech guy and I was able to pick this thing up in probably an hour, and actually start to build apps. I’ve done them over lunch when I’ve gotten frustrated with a process that didn’t exist in our company. So for non tech people who’ve got a problem, the support here is awesome and I’d recommend it to anybody, not just in our industry.”

Dave Kramer, PennLine Service

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