formisoft

Appointment Request Form

Asks about preferred doctor (if applicable), reason for appointment, and preferred date and time. Built for online appointment booking from practice website.

Questions
11
Page
1
Time
about 3 min
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Your practice

Live preview. Tap through it like a patient.

Who it is for

  • Online appointment booking from practice website
  • After-hours appointment request submission
  • New patient scheduling with pre-registration data
  • Multi-provider practices with provider-specific scheduling

What's inside

  1. Full NameText · Required
  2. Date of BirthDate · Required
  3. EmailEmail · Required
  4. Phone NumberText · Required
  5. Preferred Doctor (if applicable)Text
  6. Reason for AppointmentLong Text · Required
  7. Preferred Date and TimeDate & Time · Required
  8. Alternative Dates/TimesLong Text
  9. Special Requests or RequirementsLong Text
  10. Do you have any insurance details to provide?Dropdown · 2 choices

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

    01

    Make it yours

    Reword, reorder, or add to the Appointment Request Form, and add your logo.

  2. A patient filling out a Formisoft form on a phone

    02

    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

    03

    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

Related templates

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Questions

Responses are encrypted, only your team can see them, and a BAA is included.

Yes. You can add, remove, reorder, or reword any of the 11 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Yes. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Send it before the visit, so patients arrive ready.

Book a short call and we will set up the Appointment Request Form for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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