Patient Intake Form Template

Streamline your patient intake process with our expertly designed form, ensuring all essential personal and medical information is gathered efficiently before appointments. Boost productivity and enhance patient satisfaction by minimizing wait times and reducing paperwork hassles.

Best for: Healthcare providers looking to optimize their intake process for improved patient experience.
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Why use this template?

  • Reduces administrative burden and paperwork.
  • Accelerates the patient onboarding process.
  • Enhances accuracy of patient information collection.
  • Improves overall patient experience and satisfaction.

Common Use Cases

  • Collecting new patient information for general practitioners.
  • Pre-appointment processing at dental clinics.
  • Gathering health history in physiotherapy centers.
  • Initial assessments in mental health facilities.

Make it yours

Modify every detail. Change themes, add branching logic, or include file uploads. FlowyForm gives you the flexibility to build a form that truly represents your brand.

Connect to your workflow

Sync your data automatically with the tools your team already uses.

Google Sheets

Google Sheets

Sync responses to spreadsheets.

Slack

Slack

Get instant notifications.

Webhooks

Webhooks

Connect to any HTTP endpoint.

Zapier

Zapier

Automate with 5,000+ apps.

Frequently Asked Questions

FlowyForm templates are pre-built forms designed for common use cases like contact forms, applications, surveys, and client intake. They help you launch faster without starting from scratch.
Yes. All FlowyForm templates are completely free and included with your account. There are no locked templates or premium-only designs.
Absolutely. Every template is fully customizable. You can edit fields, change layouts, add conditional logic, enable file uploads, and tailor the form to your exact needs.
No. FlowyForm does not limit submissions. You can collect unlimited responses from template-based forms.
No technical knowledge is required. Templates are designed to be beginner-friendly while still powerful enough for advanced workflows.