Upgrade Your New Patient Intake Form

If it’s been awhile, you may be using an out-of-date version of our intake form. We’ve made some important enhancements over the years.

  • Added “meaningful use” questions
  • Updated the layout to be more intuitive

Our most recent upgrade is even more significant!

We’ve added the ability for patients to record a secondary and tertiary admitting complaint, while moving your consultation notes to a separate document.

Click on the two thumbnails to see the current version of both.

Click the button to upgrade your personalized intake form now!

(Includes English and Spanish versions of the Intake and Reevaluation forms.)

(Includes English and Spanish versions of the Intake and Reevaluation forms.)