Six live patient workflows

Choose a specialty to try a real intake form.

Open any workflow and experience the same guided mobile form your patients would receive.

SpecialtyWhat patients completeTry it
01

Neuropsychology

Developmental history, symptoms, behavioral screeners, and consents.

Open form
02

Neurosurgery

Surgical history, imaging, pain diagrams, medications, and signatures.

Open form
03

Pain Management

Pain history, medications, treatment history, body diagrams, and consents.

Open form
04

Optometry

Vision history, insurance details, ocular history, and HIPAA acknowledgement.

Open form
05

Med Spa

Health history, treatment-specific consent, and patient signatures.

Open form
06

Dermatology

Skin and medical history, medications, allergy review, and consents.

Open form

What you're actually looking at

1

We start from your PDFYour existing intake packet — the one you hand out on a clipboard today.

2

Patients fill it on their phoneNo app to download and no account to create. They just tap the link.

3

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.

Call (310) 701-9095 Email us your forms

David Main  ·  [email protected]