Using the patient intake form is essentially a medical onboarding form. It asks a patient to provide essential information to help the medical institution properly register them.
Check out the patient intake form below:
What’s in Our Patient Intake Form?
We’ve kept our form only to include the essentials:
- Patient details
- Emergency contact information
- Current healthcare provider
- Insurance details
- Market research (how the patient heard about you)
- And a space to add any extra notes
The beauty of a WPForm template is that they’re fully customizable. Tailor your patient intake form and include a section to determine the patient’s current health status and ask them to provide payment details.