For clinics and practices
Patient intake forms your patients can trust
Send new patients a link before their visit. They fill it in on their phone, upload their insurance card, and every answer is encrypted before it leaves their device.
Less paperwork at the front desk
- Patients complete intake at home, on any phone, with no app or account
- Insurance card photos are encrypted on upload
- Responses land in your inbox, a Google Sheet or a Slack or Teams channel
- Your staff unlock responses with their own keys
Built for how clinics work
Start from a template for your specialty (general practice, physiotherapy, chiropractic, dermatology, pediatrics or dental) or describe your form and let the AI builder draft it. Add your clinic's own domain, like forms.yourclinic.com, so the link looks like yours.
Private by design
Health history, medications and insurance details are exactly what shouldn't sit readable on a vendor's server. With SealForm they don't: we only ever store the encrypted version.
Templates to start from
- New Patient Intake Form
- Physiotherapy Patient Intake Form
- Chiropractic Intake Form
- Dental New Patient Form
- Pediatric Patient Intake Form
- Dermatology Intake Form
Questions
Do patients need to create an account?
No. They open the link and fill in the form. The encryption happens in their browser automatically.
Can we collect insurance cards?
Yes. File upload questions encrypt each file in the patient's browser before it's uploaded. You download and decrypt it in yours.
Can I get the answers into our systems?
Export CSV, sync to Google Sheets, or send each response to your tools through a relay in your own Cloudflare account. Every route keeps SealForm from reading the data.
Set up your intake form in minutes
Pick a template, add your questions, share the link.