Patient Intake Forms: Streamline Your Processes with HIPAAtizer

Say goodbye to cumbersome paper forms and embrace the power of online forms designed to optimize your workflow. Use our template or upload your own form and we'll convert it to a HIPAA-Compliant form, for free!
Intake Form In The Browser

The Power of Online Patient Intake Forms

Looking to transition from paper or fillable pdf forms to fully responsive, online forms? Tired of dealing with illegible handwriting, manual data entry, calculator-based scoring, not to mention storage and other compliance concerns?
With HIPAAtizer's online patient intake forms you can do away with paper and move everything online in a fully HIPAA-secure environment.
From basic contact information to detailed medical histories, questionnaires, tests and workflows, you have complete control over the data you collect with HIPAAtizer.com.
Paper Form And Intake Form On The Mobile Device

HIPAAtizer Ready-Made Patient Intake Form Template

If you do not have your own Intake Form yet, HIPAAtizer provides a comprehensive library of ready-made templates,including a pre-built Patient Intake Form template. This template is thoughtfully designed, taking into account industry best practices and compliance requirements with a seamless user experience. With just a few clicks, you can customize the template to align with your practice's unique requirements, logo and branding.
The HIPAAtizer Patient Intake Form template covers essential fields such as personal information, insurance details, and more. You have the flexibility to modify and add additional fields to ensure the form captures the information necessary for your practice. Need us to add a few fields to your existing template and move it online? We can do that for free!
Intake Form Template

Features of Our Online Forms

HIPAA COMPLIANCE AND SECURITY
With HIPAAtizer, you can trust that your patient data is handled securely and in accordance with HIPAA regulations, ensuring the privacy and confidentiality of sensitive information.
SAVE TIME
Bid farewell to deciphering illegible handwriting and manually transferring data to your EMR or EHR system. Our online forms eliminate these challenges, saving time and improving accuracy.
Layer 1FREE FORM CONVERSION
HIPAAtizer will convert any paper or web form into a HIPAA-Compliant online form. Upload your form
BRAND STYLING
Maintain a consistent brand experience by customizing the look and feel of your forms. With HIPAAtizer, you can stylize your forms to align with your brand's visual identity.
INTEGRATION OPPORTUNITIES
Seamlessly integrate HIPAAtizer with popular systems like WordPress, Wix, HubSpot, Google Sheets, Pipedrive, HighLevel, and more. Expand your capabilities and centralize your data effortlessly.
ACCESSIBILITY
Design your forms to be accessible to all users, ensuring compliance with accessibility standards and providing an inclusive experience for everyone.
ELECTRONIC PAYMENTS
Simplify payment collection by adding Stripe or PayPal components to your online forms. Provide patients with a secure and convenient payment experience.
ELECTRONIC SIGNATURE
Capture electronic signatures securely with our built-in signature component. Ensure compliance while eliminating the need for manual signatures.
HIPAASIGN
Sign web forms or existing PDF forms securely with HIPAAtizer's electronic signature functionality. Obtain a certificate of authenticity, providing a verifiable record of the signing event.
PRESERVE EXISTING PAPER FORM LAYOUT
Transition smoothly from paper to online forms while maintaining your preferred paper form layout. Our solution accommodates your needs and allows for a seamless transition. Learn More
SAVE AND CONTINUE LATER
Enable the Save and Continue Later feature for lengthy multi page forms. Patients can conveniently save their progress and resume at their convenience.
INTERNAL USE ONLY FIELDS
Designate specific fields as "Not visible for external users" to ensure that staff members can complete essential information while keeping it hidden from patients.
CONDITIONAL LOGIC
Customize form behavior based on user input with conditional logic. Display relevant fields and sections dynamically, enhancing user experience and reducing form complexity.
FILE UPLOADS
Enable patients to upload relevant documents or files, including previous assessments or reports, directly through your online forms. Simplify the document submission process while keeping everything organized.
VIDEO
Enhance the user experience by embedding videos into your online forms. Share educational content or instructional videos seamlessly.
CALCULATIONS AND ANALYTICS IN CSV
Automate calculations and capture valuable data insights by exporting form submissions in CSV format. Perform analysis and generate reports effortlessly.
WORKFLOWS
Create personalized workflows to ensure a smooth patient journey.
RE-USE OF PREVIOUSLY ENTERED DATA
Pre-fill form fields with data from previous submissions, making it convenient for returning patients to update their information quickly.

Ready to transform your patient intake and assessment process?

Get started with HIPAAtizer today and unlock the full potential of online forms in the healthcare industry.
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