intakeq.comOnline Intake Forms | IntakeQ

Toggle navigation How it works Features Free Trial LOG IN Online Intake Forms Send secure electronic forms to your clients; receive them back prior to appointments START YOUR FREE TRIAL Try it for 14 days, no credit card required A Better Intake Experience Optimize Reduce paperwork, improve record keeping, save time and money by automating your intake process. Plan Receiving your client's intake in advance prevents surprises and gives you enough time to prepare. Impress Don't make your clients do paperwork. Instead, delight them with beautiful electronic forms. Remove the paperwork from your intake. Your clients will thank you. See It in Action HIPAA Compliant e-Signature support Convert your existing forms Integrate with your website Use your own branding Mobile friendly Schedule a Quick Demo Let's see if we are a good fit for your practice The experience has been phenomenal! IntakeQ has made my day to day operations simpler while also improving the quality of service I offer my clients. Take advantage of their free trial and you will never go back to paper forms again." - Joe DeLeo LEO Training, LLC Trusted by Thousands of Professionals Read Real Reviews 4.8 out of 5 This is an invaluable tool! Being able to ship intake and policy paperwork out that can be filled in online and shipped back makes my patients and my practice sing!" Dr. Holly Lucille ND,RN www.drhollylucille.com I highly recommend IntakeQ! It has been a fantastic tool in my practice. I have been pleasantly surprised by how much more quality information I get from my patients now." Thomas Beck, MD Winston Center With IntakeQ, patients can submit forms securely prior to their appointments. This streamlines the whole intake process. Our patients have not missed the clipboards and neither have we!" Mari Goerlich Propel Physical Therapy Optional Features: Appointment Management Intake package sent upon booking SMS, voice or email reminders Allow clients to self-book Family appointments Packages and Coupons Sync with Google or Outlook Team Calendar Accept all major credit cards Telehealth HIPAA compliant video sessions Integrated with your calendar Optional Zoom integration No software to download Mobile friendly Exchange files during calls Screensharing support Client Charts and Timeline Create your own note templates Sign client charts Request client signatures Share notes securely Send and receive faxes Store files and documents Easy task management All information in one place Billing and Invoicing Easy and flexible invoicing Integrate with Square or Stripe Store credit cards on file Automatic appointment charging Recurring Payments (Subscriptions) Create Superbills Generate CMS 1500 forms Submit claims via Office Ally Secure Client Portal HIPAA compliant messaging Exchange files and documents Share forms and notes Custom style and branding Share access with your team Create Autoresponders Support for families Mobile-friendly We'll convert your forms No time to recreate your forms? We know you are busy! That's why we offer to convert your existing intake and consent forms for a very small fee. Send us your forms today and see the magic happen! 14-day trial, full-featured and free, no obligations. Insanely Affordable Pricing No contract, cancel anytime. Forms Only $ 49.90 /month Unlimited Form Templates Branded Custom Forms Accept Attachments Client and Provider e-Signatures Form Reminders Treatment Notes (SOAP, etc.) Secure Document Sharing Export to PDF/CSV/Dropbox E-Faxing* HIPAA BAA 2 Assistant Accounts $20 Per Additional Practitioner FREE TRIAL No credit card required Forms Only low volume $ 29.90 /month 10 Form Submissions/month Unlimited Form Templates Branded Custom Forms Accept Attachments Client and Provider e-Signatures Form Reminders Treatment Notes (SOAP, etc.) Secure Document Sharing Export to PDF/CSV/Dropbox E-Faxing* HIPAA BAA $10 Per Additional Practitioner FREE TRIAL No credit card required Practice Management $ 59.90 /month All Features from Forms Only Complete Appointment Management Appointment Reminders Booking Widget Automated Intake Secure Client Portal Payments/Invoices (Stripe or Square) Recurring Payments Claims & Superbills Task Management Telehealth ($10 add-on) new $20 Per Additional Practitioner FREE TRIAL No credit card required Practice Management low volume $ 39.90 /month 20 Appointments/month All Features from Forms Only Complete Appointment Management Appointment Reminders Booking Widget Secure Client Portal Payments/Invoices (Stripe or Square) Recurring Payments Claims & Superbills Task Management Telehealth ($10 add-on) new $10 Per Additional Practitioner FREE TRIAL No credit card required Starting your business? See our low volume plans. See our regular plans. Recommended Reading Times Are Changing: A Word About Patient On-boarding Electronic Intake Forms: Save Time and Reduce Costs 7 Benefits of Using Online Intake Forms Latest Intake Form on the iPad Massage Intake Forms Improve Your Intake Forms HIPAA Forms About How It Works About Us Pricing Referrals Resources Support Our Blog Terms of Service Privacy Get in Touch Contact Us Facebook Twitter © IntakeQ 2021. All rights reserved...