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Featured Article

11 Game-Changing Benefits of Workflow Automation

Jamie T.  | August 1, 2024
Explore the benefits of workflow automation for your business. Learn how automating your processes can lead to higher efficiency, accuracy, and cost savings.
Read the Article
  • Data Collection

    Easily gather, format, and validate data through different field types.

  • Workflow Automation

    Build flexible, efficient workflows that help you engage the right people at the right time.

  • Data Management

    Organize, configure and transfer data, and create reports and documents.

  • Security & Compliance

    Stay compliant with HIPAA, GDPR, CCPA and other privacy regulations.

  • Integrate Data With Existing Tools

    Expand your form's functionality with flexible integration options.

  • Online Payment

    Conduct secure online transactions through your choice of payment partners.

Product
NEW

Enjoy seamless collaboration and keep track of your team's work with Workflow Tasks.

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  1. Templates
  2. Healthcare

Chiropractic Intake Form

This free chiropractic template makes new patient onboarding reliable and efficient. Add or remove sections to obtain more insight on patient health data. Customize fields to reflect your practice. And easily integrate with your EMR(Electronic Medical Record) to automate data transfer. Please note that our Enterprise plans can be made HIPAA compliant.

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    Healthcare
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    Repeating Sections & Tables
    Multi-Page Forms
    Electronic Signatures
    Save & Resume
Healthcare 25
  • Adult Medical Consent Form
  • Adult Medical History Form
  • Appointment Request
  • Blood Donation Form
  • CAHPS Clinician & Group Adult Survey
  • CAHPS Clinician & Group Child Survey
  • Child Medical Consent Form
  • Child Medical History Form
  • Chiropractic Intake Form
  • Dental Health History Form
  • Doctor Referral Form
  • GAD-7 Anxiety Screening Template with Automated Scoring
  • Immunization Record
  • Medical History Form
  • Medical Release Form (HIPAA Form)
  • New Patient Registration - Adults
  • New Patient Registration - Children
  • Patient Online Bill Payment
  • Patient Satisfaction Survey
  • PHQ-9 Depression Screening Template with Automated Scoring
  • Prescription Refill Request
  • Teletherapy Consent Form
  • Veterinary New Client Form
  • Veterinary Prescription Refill Request
  • Veterinary Referral Form

Related Articles

  • HIPAA Compliance Guide
  • Patient-Experience: The Case for Storing Credit Card Information

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