Intake Forms & Questionnaires

Intake forms forany program

Launch with proven templates or get a fully custom design. Your brand, your flow—live in days, not weeks.

Get started
8+
Pre-built templates
100%
Customizable design
50+
Question types
24hr
Launch time

Works for any workflow

Flexible intake forms that adapt to your program requirements.

Templates included
Pre-built forms for common programs. Launch in minutes, customize anytime.
Fully branded design
Your logo, colors, and fonts. Every form looks like it was built in-house.
Conditional questions
Show or hide questions based on previous answers. Smart, adaptive flows.
Shareable link + embed
Send patients a direct link or embed the form on your website seamlessly.

Templates

Start with a proven template for your program. Customize as needed.

Weight Management
Weight Loss Intake
BMI, goals, and medical history for GLP-1 programs
Preview
Wellness
Longevity Intake
Comprehensive health screening for wellness programs
Preview
Follow-up
Labs Follow-up
Post-lab consultation questionnaire
Preview
Maintenance
Medication Refill
Quick refill request with symptom check
Preview
Onboarding
New Patient Intake
General onboarding for first-time patients
Preview
Retention
Cancellation / Retention
Understand why patients are leaving
Preview
Follow-up
Side Effects Check-in
Monitor patient responses to treatment
Preview
Administrative
Prior Auth / Eligibility
Insurance and eligibility verification
Preview

Any design

Whether you need a clean, minimal look or a fully branded experience, we can match any style. Your patients see your brand at every step.

  • Custom colors, fonts, and logos
  • Tailored layouts for your workflow
  • Consistent experience across all touchpoints
  • Mobile-optimized by default
AC
Acme Health

What's your weight loss goal?

Select the option that best fits

Full brand integration with custom colors and messaging.

Frequently asked questions

Everything you need to know about our intake forms.

Yes. Every form supports your logo, brand colors, fonts, and custom copy. From the welcome screen to the completion message, everything reflects your brand identity.

Ready to streamline your intake?

Get started with a template or talk to us about a custom design for your programs.