Patient Intake Forms

Patients fill out forms before they arrive

Your receptionist hands a clipboard across the counter. The patient fills it out in a waiting room chair while balancing a handbag. Later, someone types it into the system. Forms get lost, handwriting gets misread, and the data enters your records hours after the patient left.

We host your intake forms. You send a link. The patient fills it out on their phone at home the night before, or on your waiting room tablet. The data lands in your system encrypted before they walk through the door. No clipboard. No data entry. No lost forms. Just a complete patient record when you need it.

Capabilities

Custom Forms, Not Templates

Your practice has specific fields. Blood type, referring doctor, medical aid plan number, the consent language your insurer requires. We build each form to match your workflow. Title dropdowns, radio groups, free-text sections, date pickers, phone number fields with formatting. Your forms look like your practice, not a generic template.

End-to-End Encryption

Patient data is encrypted in transit and at rest. Nobody in between can read it. We use AES-256-GCM with per-form encryption keys. Even our own servers cannot decrypt patient records without the practice's key. This is not a marketing line. It is how the system is built.

Digital Signature Capture

Patients sign directly on screen using a pressure-sensitive canvas. The signature embeds into the exported document as a vector image. Consent forms, financial responsibility agreements, treatment authorisations. All signed and stamped with a date. No printing. No scanning. No storage boxes.

Export Where You Need It

Download completed forms as DOCX for your filing system. Export as JSON to feed into your EMR, billing system, or analytics pipeline. One-click batch export for the day's intake forms. We do not lock your data inside our platform. You own it. You take it with you anytime.

Zero-Knowledge Architecture

We built this so we cannot see your patient records. The encryption keys live in your practice. When a patient submits a form, it encrypts client-side. Only your staff can decrypt it. If someone compromises our servers tomorrow at noon, patient data from yesterday is still ciphertext. This is how health data should work.

HIPAA-Ready, POPIA-Compliant

Audit logs record who viewed each form and when. Access controls limit what each staff member can see. Data residency options keep records in your jurisdiction. Business associate agreements available for US practices. Built for the regulatory environment medical practices operate in.