Replace paper clipboards with secure digital intake. Patients complete forms before they arrive. E-signatures, document uploads, and clinical data — organized and ready before the appointment.
Send a digital intake link before the appointment. Patients complete it on their phone, at home, in advance — your staff reviews before they walk in.
Include consent forms and HIPAA acknowledgments directly in your intake form. Patients sign electronically before they arrive.
Every intake submission flows directly into your ZiggyHQ CRM as a structured record — no re-typing, no lost forms, no manual data entry.
Patients upload insurance cards, referral letters, or prior authorization docs right in the intake form before their appointment.
Add legally-binding signature fields for consent forms, HIPAA acknowledgments, and treatment authorizations. Signed documents are stored with the patient record.
Patients upload insurance cards, referral letters, prior auth documents, and medical records directly in the intake form — before the visit.
Show relevant symptom questions based on reason for visit. Different intake forms for new vs. returning patients. Collect the right clinical information every time.
Every intake auto-creates a structured patient record in ZiggyHQ — searchable, sortable, and ready for your team to act on before the appointment.
Your practice's logo, colors, and a custom domain. Patients see your brand, not a third-party form tool — building trust from the first touchpoint.
Track how many patients complete intake before their appointment vs. at check-in. Identify which questions cause drop-off and optimize your form.
New patient intake, medical history, medications, consent, insurance upload.
Injury intake, functional assessment questions, prior treatment history, e-sign consent.
Intake questionnaire, symptom scales, release of information, HIPAA acknowledgment signature.
Pain location/severity intake, health history, auto accident details, consent forms.
Medical history, current medications, dental anxiety screening, insurance upload, e-sign consent.
Chief complaint, symptom onset, insurance card upload, consent to treat — before they walk in.
“We switched from paper intake at our physio practice and the difference is night and day. Patients arrive with forms already complete. Signatures are done. Insurance is uploaded. Our front desk now has time to actually welcome people instead of doing data entry.”
Digital intake forms that patients complete before they arrive. Secure, signed, and auto-organized. $19/mo.
Get Started Free — $19/moNo credit card required.