Digital Patient Intake Forms Platform

Drag-and-drop form builder with 30+ field types — text, date, signature, photo upload, medication history tables, rating scales, and more. Conditional logic shows or hides questions based on previous answers, creating personalized intake experiences for every patient.

Collect HIPAA authorizations, treatment consents, financial responsibility agreements, and release-of-information forms with legally binding e-signatures — timestamped, audit-trailed, and stored securely against each patient record.

Automatically sync completed intake data into patient records across Epic, Cerner, Athenahealth, DrChrono, and 50+ other platforms via FHIR and HL7 — demographics, medical history, insurance, medications, allergies, and signed consents delivered without manual entry.

Your brand, your domain, your colors — every patient touchpoint reflects your practice identity. Multi-practice and enterprise deployments support location-specific branding within a centralized governance framework.

Clinical and administrative staff can build, update, and publish intake forms without developer involvement — empowering your team to respond quickly to changing clinical needs, new consent requirements, or new specialties.

AES-256 encryption, HIPAA-compliant cloud storage, role-based staff access, and complete audit logs on every form submission and data access — built to satisfy enterprise compliance teams and external auditors.