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Custom Secure Online Patient Intake Forms

Use Brightsquid Secure Forms to collect patient histories or consent, conduct pre-appointment screening, and more. Deliver quality patient care while optimizing clinic efficiency.

Stop Wasting Hours on Data Entry, Switch to Online Patient Intake Forms

Move patient data collection online using Brightsquid Secure Online Forms to save your clinic staff hours of unnecessary effort, keep appointments running on time, and become more paperless.

With Brightsquid Secure Forms, you’re looking at big savings on clinic staff hours, and also a more efficient and organized data management system. Our secure healthcare communication platform allows you to gather all relevant patient data including personal details, medical histories, and more so you can create a more complete picture of patient’s health status before the appointment.

Save 7 Hours

Of unnecessary effort every month

Why Choose Secure Online Patient Forms?

By creating a simple yet secure process for advanced patient data collection, Brightsquid Secure Forms allows your clinic to eliminate typing, printing, and scanning while maintaining data security and privacy. These online patient intake forms are easy to use and create a simple, secure healthcare communication method for clinics and patients.

Data Security and Compliance

Stay compliant while gathering data as your patient information remains safe within the Brightsquid network. This reduces the risk of data breaches and unauthorized access to sensitive patient information.

Streamline Appointment Management

Send patient forms in advance of appointments so that data is in the system when patients arrive. No form prep, no scanning, no typing handwritten forms into the patient record.

Improved Patient Experience

Patients appreciate the convenience of filling out forms digitally, often at their own pace and prior to appointments. This can enhance patient satisfaction, reduce wait times, and support more effective encounters.

Secure Online Patient Forms Templates

Your Brightsquid Secure-Mail account comes with a set of standard Secure Forms that your staff can use to save time and collect basic information before scheduled appointments.

Created to include typical onboarding and appointment prep fields and questions, these forms can save staff hours and reduce overhead at your practice. These templates cover a broad spectrum of fields that are most routine for clinics in North America. However, if you’re looking for a more custom online patient intake form, our team is happy to design one for you.
  • Patient Medical History Form

    Collect a comprehensive overview of a patient's health background, including past medical conditions, surgeries, allergies, current medications, family medical history, etc.

  • Collect Pictures

    Provide a template for patients to share visual information with their healthcare providers to support virtual and in-person consultations, treatment follow-up, or remote diagnosis..

  • COVID-19 Screening Form

    Assess patients for COVID-19 symptoms, recent travel history, exposure to infected individuals, and other risk factors before they are on-premises without clogging phone lines.

Keep Your Patients Happy With Our Secure Online Intake Forms

One of the biggest advantages of using Brightsquid’s secure healthcare communication platform is that it ensures the privacy and security of sensitive information, like personal health details and contact information. But beyond privacy, there are many benefits to switching to online patient intake forms that will make your clinic popular among your patients.

Frequently Asked Questions About Secure Online Patient Forms

What is a secure online patient intake form?
A secure online patient intake form is a digital web-based form that allows patients to submit essential medical and personal information to healthcare providers before their appointment. Our online patient forms ensure data security and compliance with healthcare privacy laws.
How does Brightsquid ensure data security in online patient forms?
Brightsquid’s secure network uses encryption and secure access protocols, keeping all patient intake form data confidential and reducing the risk of unauthorized access and data breaches. The forms are stored in our secure servers and not accessed on the open Internet.
Can I customize forms for my clinic’s specific needs?
Yes, you can get in touch with our team to design a custom form based on your clinic’s requirements. We can recreate pretty much any form layout and include clinic logos and letterhead information.
How do Brightsquid Secure Forms improve patient experience?
Patients can complete forms digitally, at their own pace, before the appointment on their phone, computer, or tablet. This reduces wait room time and improves the overall patient experience by making the intake process convenient and efficient. Plus, no more sharing pens and passing papers on clipboards.

Need a Custom Form for Your Clinic?

Let us help you design custom forms that improve your data collection and patient engagement. Speak to our experts today!