formisoft

Telehealth Platform Enrollment Registration

Asks about mobile phone, device type, and internet connection quality. Built for telehealth service providers.

Questions
9
Page
1
Time
about 2 min

Includes

  • Consent agreement
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Your practice

Telehealth Platform Enrollment Registration

Live preview. Tap through it like a patient.

Who it is for

  • Telehealth service providers
  • Virtual primary care clinics
  • Remote specialty care programs
  • Digital health startups
  • Hospital telemedicine departments

What's inside

  1. Patient NameText · Required
  2. Email AddressEmail
  3. Mobile PhonePhone
  4. Device TypeCheckbox · 4 choices
  5. Internet Connection QualityMultiple Choice · 4 choices
  6. Preferred Visit TypeDropdown · 4 choices
  7. Technical Assistance NeededMultiple Choice · 3 choices
  8. Caregiver Portal AccessToggle
  9. Information acknowledgmentConsent Agreement

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 Telehealth Platform Enrollment Registration, 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

All templates

Questions

Formisoft provides secure form collection and a Business Associate Agreement (BAA). Your practice must review the form content, access permissions, and sharing workflow for its requirements.

Yes. You can add, remove, reorder, or reword any of the 9 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Patients open a secure link from an email, a text, or a QR code and complete the form on their phone, tablet, or computer before their appointment. No app download required.

Yes, on Front Desk. 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.

Yes. The Telehealth Platform Enrollment Registration works on any device. Most patients complete intake forms on their phone, so every template is built for small screens first.

Send it before the visit, so patients arrive ready.

Add the Telehealth Platform Enrollment Registration to your account and make it yours in a few minutes.

Cancel anytime · BAA included

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