Looking for Dental Intake Forms For Your Practice?
Create, convert, and customize dental intake forms. HIPAA-Compliant, mobile-friendly forms for dental practices. Embed on any website or share via a secure link.
A dental intake form is used to collect patient information, including medical history, contact details, insurance, and consent, before a dental visit. A HIPAA-Compliant dental intake form ensures that this information is collected and stored securely.
With HIPAAtizer’s online forms, you can simplify the intake process by allowing your patients to digitally fill-out intake and other forms. The flexibility of using digital forms allows for convenient use on phones, tablets or computers. Patients can even securely fill-out an intake form from home saving valuable time in the dentist’s office.
Benefits of Using HIPAAtizer
- Keep your own forms! Dentists love that HIPAAtizer will convert their existing paper and PDF forms into fully digital dental intake forms. Keeping your existing formats saves time for the dentist when they are reviewing submissions.
- Customizable features to showcase your exact requirements. With the form builder, you can make sure every field is covered for your practice. If you need to add an area to list allergies or pre-existing dental work for a new patient to fill out, it is as simple as clicking a button.
- All forms can be styled with your branding and design to match your practice. Give your forms a cohesive and professional look. You can easily add logos or fonts to match your brand image.
- Access to a printable dental intake form in your original PDF design. Having a digital form won’t stop you from accessing a paper one if you need. Printable access allows you flexibility for staff and patients.
- Your forms will always be HIPAA Compliant. There is no second guessing when it comes to HIPAA Compliance. You can have peace of mind that your forms are HIPAA Compliant.
Dental Intake Form Templates
See Our Forms in Action!
HIPAAtizer offers dental intake form templates that you can use as a starting point, customize, or replace with your own forms.
Dental Intake Form
ADA Consent to Proceed
Build, Convert, and Customize Your Dental Intake Form
Whether you are starting from scratch or already have a form, you can:
- Convert an existing PDF or paper form using AI
- Refine and edit your form to match your workflow using the HIPAAtizer form builder
- Request a manual form conversion to make your form and submission design perfect
- Use a template and customize it for your practice
All forms are mobile-friendly, HIPAA-Compliant, and ready to use on your website or share via QR code or secure link.
Integrate your form with Open Dental and Dentrix
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Other features we offer:
CANVAS
Integrate diagrams and images into your forms.
ePAYMENT
Stripe and PayPal integrations in HIPAAtizer allow you to accept payments from your customers quickly and efficiently.
E-SIGNATURE
When you use HIPAAtizer for your HIPAA-Compliant online forms, you have the ability to sign your forms with your E-signature for added convenience.
SUBMISSION ACCESS MANAGEMENT
Send and receive form submissions in encrypted PDF format in your email attachments.
STYLING
If you want to customize the look and feel of your HIPAA-Compliant form but don’t have the necessary coding experience, our visual theme editor can make it possible.
QR CODE
Share your HIPAA-Compliant forms with your customers using a QR code with a unique link.
FORM PACKET
Our efficient Form Packets allow you to link various forms together.
Frequently Asked Questions
Yes. You can start with a dental intake form template, build your own form, or convert an existing one. Most practices choose the option that best fits their current workflow.