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

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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 9 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 Telehealth Platform Enrollment Registration for your practice, ready to send before the next visit.

BAA included · We set up your front desk

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