Online Patient Intake white labeled for agencies.
Make your client an industry leader with streamlined patient registration. Embed forms into any site, built on any platform.
Designed to improve the digital patient experience.
Learn more about Online Patient Intake
All forms are HIPAA compliant, protecting both your client and your client’s patients.
Templates & Scratch Build
Providers can use an ADA, AMA, or APA standard template or build their own forms from scratch.
Forms are designed to be completed on any device.
Add Online Patient Intake to any website in less than a day.
Completed forms are filed in a secure portal, allowing your client to access patient data anytime, anywhere.
No download required
Providers log in through a cloud-based server, no desktop app or download required.
Please reach out with any questions you might have. That could be helping you improve online patient registration, secure online forms, or a marketing strategy.
We welcome questions and feedback: firstname.lastname@example.org