Online patient intake forms
- What paper intake costs a month
- $128
- Front desk hours a month on paper intake
- 6
- What paper intake costs a year
- $1,536
Every figure here comes from the inputs you enter and the method stated beside it: your patient numbers, your minutes, your rates. The site publishes no clinical rule and no legal rule; the only external figures on it are competitor prices, named and dated where they appear.
The figures above start from a worked example ($128). Change any input and the answer updates as you type.
Download the Online patient intake forms worked example (CSV)
These are online patient intake forms from the practice's side: what the registration collects, and what the paper version is costing you. Enter your own figures in the worksheet: how many new patients a month, the minutes the desk spends on each paper intake including re-keying, your front desk hourly rate, and how often an incomplete form has to be chased. It works out the hours and the money paper intake takes each month and each year, on the page, free, no account. Every figure is yours; the site publishes none of its own.
Online patient intake forms: common questions
Are these online patient intake forms free? Yes. The worksheet computes on the page with no account and no card, and the checklist of what a registration collects prints as it stands. The paid plan is about the record: submitted intakes filed against the patient with a status.
Where do the worksheet's figures come from? From you. Patient numbers, minutes per intake, the desk rate and the chase share are all your inputs, and the method is stated on the page: minutes times patients, plus the chases, at your hourly rate. Change any input and the answer updates as you type.
What does an online intake form need that the paper one does not? A way to check completeness as it arrives, a place where the submission files itself against the patient, and consent captured at the point of answering. What it must lawfully contain for your specialty is your regulator's and your adviser's question, and this site does not answer it.
Clipboardo Pro
Keeping what you make
The template is free. Pro is what happens after someone fills it in: the intake lands as a record with a status, nothing gets re-keyed, nothing sits in a scanning tray, and the day's new arrivals are one list the front desk can actually work.
- The completed intake form as a clean PDF
- No Clipboardo mark on your paperwork
- Save a half-done intake and finish it later
- Your practice name and logo on every form
- The whole intake book, exported in one go
- Send the form to a patient or client from the record
- Take the intake deposit by card
- Intake fees flow to your bookkeeping
$55per month, whole team
Start Clipboardo Pro PricingClipboardo Pro is $54.90 per month, billed monthly, and renews each month at that price until you cancel. The price and renewal terms are shown again before checkout.