Intake Questionnaire Form Template

Collect vital information from clients and patients prior to their first session with you. Automatically add information like personal and family medical histories, past surgeries, medications and more to client records in Practice Better.

Streamline the intake process by sending to clients ahead of session
Import client medical history to Practice Better automatically
Track medications and supplements with a couple clicks
Ideal for:
Dietitians
Functional Medicine Practitioners
Health Coaches
Medical Doctors
Naturopathic Doctors
Nurse Practitioners
Nutritionists

Why use the Intake Questionnaire Form Template?

Practice Better's Intake Form streamlines patient care by capturing key information, improving data hygiene, and ensuring you start off on the right foot with each patient.

With the Intake Form Template, you can:

  • Collect essential information like patient and family medical history, medications, and supplements
  • Remain HIPAA-compliant from the very first interaction
  • Use it in Practice Better to automate and sync data directly into patient profiles

Download the template to kickstart your patient interactions and avoid the common mistakes associated with the intake process.