Everything your practice needs

A complete platform for building, sending, and managing patient intake forms — without compromising security.

Customizable Intake Wizards

Your practice isn't generic — your intake forms shouldn't be either. The SecureINTAKE form engine lets you define exactly the questions, sections, and flow your specialty demands.

  • Multi-step wizard with progress tracking
  • Conditional visibility — show questions based on previous answers
  • Conditional required fields — enforce data only when relevant
  • Field types: text, date, dropdown, checkbox, signature, file upload
  • Save and resume — patients can return where they left off
  • Schema-driven — define your form as a JSON schema
Form builder and wizard editor

Email & SMS Delivery

Reach patients where they are. Send intake invitations via email, text message, or both — with a single secure link that works on any device.

  • Branded email invitations
  • SMS with direct link to the intake wizard
  • Automated reminders for incomplete intakes
  • Delivery receipts and read tracking
Email and SMS delivery screen

Intake Automation

Set it and forget it. Schedule your intake workflow once and the system handles the rest — sending invitations, following up with patients who haven't responded, and notifying your staff when forms are completed. No daily manual work required.

  • Schedule intake invitations days or weeks before appointments
  • Automatic follow-up reminders on your defined cadence
  • Escalation rules — notify staff when deadlines pass
  • Recurring schedules for repeat patients or annual updates
  • Batch processing — queue hundreds of invitations at once
  • Dashboard shows scheduled, pending, and completed at a glance
Intake automation scheduler

Patient Management

Maintain a roster of patients with their contact details, track the status of every intake invitation, and view completed submissions from a central dashboard.

  • Add patients with name, email, phone, and demographics
  • Track invitation status: sent, opened, in-progress, completed
  • Search and filter your patient list
  • View and print completed intake submissions
Patient management dashboard

User & Role Management

Control who can do what across your entire practice. Assign roles with granular permissions so staff see only what they need — and administrators keep full oversight.

  • Create and manage staff accounts with unique credentials
  • Predefined roles: Administrator, Provider, Front Desk, Billing
  • Custom roles with fine-grained permission sets
  • Control access to form design, patient data, and settings
  • Audit log tracks every user action for compliance
  • Deactivate accounts instantly — no data loss
User and role management screen

Security you can trust

Patient data is protected health information. We treat it that way at every layer of the platform.

End-to-end encryption

All data is encrypted in transit with TLS 1.3 and at rest with AES-256. Patient submissions are encrypted before they leave the browser.

HIPAA compliance

Business Associate Agreements available. Administrative, physical, and technical safeguards meet or exceed HIPAA Security Rule requirements.

Audit trail

Every access, edit, and submission is logged with timestamps and user identification. Exportable audit logs for compliance reviews.

Role-based access

Control who can design forms, invite patients, and view submissions. Administrators manage team permissions from a central panel.

Token-based sessions

Secure token refresh with automatic session expiration. Patient links are single-use and time-limited for maximum protection.

SOC 2 readiness

Infrastructure and processes designed to meet SOC 2 Type II standards. Regular penetration testing and vulnerability scanning.

Works with your existing systems

SecurePATIENT Intake delivers completed forms as structured JSON, making integration with your EHR, practice management, or billing system straightforward.

JSON API

Structured data output ready for any downstream system.

Webhooks

Real-time notifications when intakes are submitted.

EHR Integration

Connect to major EHR platforms via HL7 FHIR or custom mapping.

PDF Export

Generate printable PDF summaries of completed intakes.

Frequently asked questions

Is SecurePATIENT Intake HIPAA compliant?
Yes. All patient data is encrypted in transit and at rest. We execute Business Associate Agreements (BAAs) with every customer. Our infrastructure meets the administrative, physical, and technical safeguard requirements of the HIPAA Security Rule.
Can I customize the intake form for my specialty?
Absolutely. The form engine is schema-driven — you define the exact questions, sections, field types, and conditional logic your practice requires. Whether you're in dermatology, orthopedics, or behavioral health, the intake wizard adapts to your workflow.
How do patients receive the intake form?
You send an invitation via email, SMS, or both. The patient receives a secure, time-limited link that opens the intake wizard in their browser — no app download required. It works on phones, tablets, and desktops.
What happens when a patient completes the form?
The completed wizard is submitted as encrypted, structured JSON and stored securely in your account. You receive a notification, and the submission appears in your dashboard. You can also receive the data via webhook for integration with your EHR or practice management system.
Do you provide a Business Associate Agreement?
Yes. A BAA is included with every Professional and Enterprise plan and is available upon request for Starter plans. We're happy to review your specific compliance requirements.
Can patients save their progress and return later?
Yes. Patients can save their progress at any point in the wizard and return to complete it later using the same secure link. Their data is encrypted and stored until submission.

See it in action

Schedule a personalized demo and see how SecurePATIENT Intake fits your practice.

SecurePATIENT Intake

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