ChiroIntake

Online Patient Intake Forms

Is your waiting room really the best place for patients to fill out intake forms? What if your patients could fill out intake forms from the comfort of their own home, office, or even parking lot?

ChiroIntake is designed to capture standard questions that new patients in a typical chiropractic office answer. ChiroIntake captures patient demographics, insurance, complaints, medical history, automobile accident information if necessary, and outcome assessments like Oswestry or Neck Disability.

Once completed by the patient, your office will receive an email with the information in a nice tidy report. Now when the patient arrives in your waiting room, all they do is sign your HiPAA and consent forms, and they’re done.

www.chirointake.com