Online chiropractic intake forms

Our online chiropractic intake forms allow your patients to complete their forms before arriving at your practice. This maximizes efficiency for your patients, saves your staff time, and eliminates paperwork.


With a fully customizable online intake experience you can eliminate paperwork and reduce burden on staff.  Customize which sections you want shown to patients.  Even write your own custom intake questions.  Everything, including outcome assessments, populate automatically into the SOAP note. 

Online Intake Sections You Can Show

  • Personal Info
  • Demographics
  • Smoking Status
  • Employment Info
  • Emergency Contact
  • Family History
  • Medications
  • Allergies
  • Problems
  • Complaints
  • Outcome Assessments
  • Review of Systems
  • Acknowledgements
  • Additional Intake
Further Eliminate Paperwork

The Acknowledgement section allows you to get rid of documents your patients are currently reading and signing.  The process is fully customizable and now fully digital.  Create your own acknowledgments or chose from some of our examples.

Outcome Assessments

You need a practice management system that makes outcome assessments easy.  This means both prescribing them but also managing their results.  With our chiropractic software outcome assessments automatically score and populate into the SOAP note. 

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