Online Patient Intake Form Free Trial

"Digitize your patient registration process! Get Free access to our patient intake form"

Want to digitize your patient intake process?

Healthcare industry is leveraging innovative technology solutions to improve patient's experience across the care continuum. Despite such significant technology advancement in electronic intake process, many hospitals, clinics, and other care providing institutions are still using the age-old method of clipboards and paper forms for patient registration.




By using our open sourced solution, you can deploy online patient intake process, to fill forms securely, at patient’s convenience.

The solution offers a wide range of benefits like:

✅ Interactive and user friendly HIPAA compliant web forms

✅ Seamless Integration with hospital EHR, PMS systems

✅ Inbuilt checks and validation

✅ Eliminate manual intervention

✅ Enhance operational efficiencies

✅ Highly customizable

✅ Deployed in weeks


We offer free distribution (a.k.a distro) of Patient intake forms for Hospitals and Clinics on Drupal WebCMS (i.e. their website or internal portals should be deployed on Drupal).

Start your free trial

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