Custom Secure Online Patient Forms

Stop Wasting Hours on Data Entry,
Switch to Online Patient Intake Forms
Move patient data collection online using Brightsquid’s secure patient intake forms. Secure Online Forms save your clinic staff hours of unnecessary effort, keep appointments running on time, and become more paperless.
With Brightsquid Secure Forms, you’re implementing big savings in clinic staff hours, and also more efficient and organized data management. Our secure healthcare communication platform allows you to gather all relevant patient data, including personal details, histories, and more, so you can create a more complete picture of the patient’s health status before the appointment.
- No more paper form management
- No more manual form data entry
- No more illedgible forms
Hours saved every week by switching to Brightsquid Secure Online Forms
Streamline patient onboarding and intake
By creating a simple yet secure process for advance patient data collection, Brightsquid Secure Online Forms allow your clinic to eliminate typing, printing, and scanning while maintaining data security and HIPAA compliance.
Data Security and Compliance
Streamline Appointment Management
Improved Patient Experience

Secure Form Standard 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 HIPAA-compliant online patient intake forms can save staff hours and reduce overhead at your practice. Forms can even be added to your website.
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Patient History Form
Collect a comprehensive overview of a patient's health background, including past medical conditions, surgeries, allergies, current medications, family medical history, etc.
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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..
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Screening Forms
Assess patients for additional treatments they may require without taking schedule time. Show them your full scope of practice and how you can play a more important role in overall health.
Why HIPAA Compliant Email is Essential for Online Patient Intake Forms
Sending protected health information (PHI) over standard email platforms is highly risky for your clinic. Not only are you making patient information an easy target for hackers and cyber criminals, you also end up violating healthcare and HIPAA compliance rules. You need to make sure your online patient intake forms are integrated with HIPAA compliant email providers like Brightsquid.
With Brightsquid, you can securely send and receive patient intake forms. Ensure that email-based form delivery complies with all healthcare regulations, and keep track of when patients complete and submit their forms.
These online patient intake forms are also highly convenient and easy to use. It allows your patients to prepare for appointments without feeling rushed through the paperwork at the clinic. Completed forms are delivered directly to your clinic inbox as a PDF attachment.
