Parents finish forms before they arrive.

Parents send guardian details, immunization history, and consent from their phone, not a busy lobby with kids.

An intake form a patient fills out on their phone

What changes for your practice

Done from home

Parents fill out forms on their phone before the visit.

Guardian details on file

Guardian consent and contacts are captured at intake.

Records uploaded

Parents upload immunization records with the form.

How it works

  1. 01The parent books a visitWell-child, sick, or new-patient, from your booking page.
  2. 02Pediatric intake goes outChild details, guardian consent, and immunization history.
  3. 03The visit starts readyAnswers are on the chart before the family checks in.

Questions

Yes. Add a file upload field to the form. Records are stored on the child's chart.

Yes. The template library includes a pediatric developmental screening form you can edit.

The parent or guardian signs with an e-signature field. Use the minor patient consent template as a starting point.

Get every patient ready before the visit.

Start with Intake at $49.99/mo. Add booking, reminders, and payments with Front Desk at $149.99/mo.

Cancel anytime · BAA included