Patient Intake Forms (DEMO)
Need Us To Upgrade Your Patient Intake Forms
(Examples Illustrated Here Furnished By ZoneWD)
Looking to digitize patient information collection for your medical practice? Improve the overall patient experience and reduce the stress of front desk staff with these and other Patient Intake Forms App done entirely here!!
PATIENT INTAKE FORMS APP
Increase the efficiency of your practice in a secure cloud environment. These ready-made and responsive form templates are customizable to your specific needs. Requires only 5 DataPages.
- Live App DEMO Previews:
- Public View
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.
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 ZoneWD’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.
- Store PHI data in ZoneWD’s HIPAA-compliant platform and never worry about compliance. Contact us to learn more.
- Combine the patient intake forms with other ZoneWD-powered healthcare applications to create an entirely custom and HIPAA-compliant solution.
- And more ways to fully customize it Your Way to meet Your needs!!
Ready to Get Started too?
Set yourself up for success and bring your vision to life.
Or
Keep clicking around the demos until your ready to do it.