Unlock powerful new features to grow your business 📈

Join the waitlist
Signup

Patient intake form template

Collect up to 3.5x more data with Typeform

Airbnb
Mailchimp
Hermès
HubSpot
Barry's

Make your patients feel at ease from the word go

Old school forms are cold and complicated. Help your patients navigate through their intake process with a friendly form that feels like it was made just for them. Our time-saving integrations allow you to focus on what matters.

With Typeform, you can customize everything

    Change text, colors, and even logos to match the look and feel of your brand. Then embed forms smoothly onto web and email.
    Make forms feel effortless to fill out. Pace questions, call people by their name, and adapt the flow based on the data they share.
    Stay efficient by connecting forms to your workflow. Typeform integrates with 120+ tools including Slack, Zapier, and HubSpot.

Patient intake form FAQs:

Get inspired by relevant templates and categories

1500+ Templates, 120+ Integrations

Access 3,000+ templates