Try a real patient intake form on your phone.
These are real intake packets from real specialties, rebuilt as guided mobile forms. Tap into one and go through it exactly the way your patients would.
Neuropsychology
A full new-patient neuropsych intake — history, symptoms, and consents — turned into a guided mobile flow.
Open the demoNeurosurgery
A surgical consult intake — medications, imaging history, pain diagrams, and consent signatures — start to finish.
Open the demoPain Management
A pain management new-patient packet — pain diagrams, medication and treatment history, and consents — on the patient's phone.
Open the demoOptometry
A complete optometry new-patient packet — vision history, insurance, and HIPAA consents — on the patient's phone.
Open the demoMed Spa
A med spa intake and consent packet — health history, treatment consents, and signatures — start to finish on the patient's phone.
Open the demoDermatology
A dermatology new-patient intake — skin and medical history, medications, and consents — turned into a guided mobile flow.
Open the demoWhat you're actually looking at
We start from your PDFYour existing intake packet — the one you hand out on a clipboard today.
Patients fill it on their phoneNo app to download and no account to create. They just tap the link.
You get your PDF backThe same form you started with, filled in and signed — not a spreadsheet export.
HIPAA-compliant, with a signed BAA. Demo forms are for testing only — please don't enter real patient information.
Want to see your own packet as a demo?
Send over the intake PDF you use today and we'll turn it into a live mobile form you can try — usually same day.
David Main · [email protected]