• Complete Online Patient Forms Management

    PatientStudio™, a desk-top app for your computer, automatically receives downloaded patient forms (HIPAA acknowledgment, personal/insurance information, and medical histories)– before patient's first appointment.

    • Eliminate illegible handwriting and scanning forms
    • Validate Patient's Insurance before they arrive
    • Red-Flag potential medical problems
  • Patient Referral System for Specialists

    • Eliminates faxing by referral office and/or patient bringing the completed referral
    • Upload x-rays and/or clinical photos into referral form
    • Real-time consultation with referring doc
    • Easy, Effective & Powerful marketing tool for specialists
  • Customized Forms

    • Convert your Forms to Our software
    • One-time charge of just $99/page
    • Includes logos and other graphics
    • Utilize any forms – i.e. consent, questionnaires, informational

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Patient Forms For Dentists

General Dentist
Oral & Maxillofacial Surgeon

Patient Forms For Medical Doctors

Allergy & Immunologist
Cardiovascular Disease
Emergency Medicine
Family Practice
Geriatric Medicine
Infectious Disease
Internal Medicine
Orthopedic Surgeon
Osteopathic Medicine
Otolaryngologist [ENT]
Pain Management
Cardiovascular Disease
Physical Therapist
Plastic Surgeon
Pulmonary Medicine
Sports Medicine

Patient Forms For Facilities

Independent Living
Assisted Living
Nursing Homes

Patients Fill Out Their Forms Before Arriving In Your Office!

Submit Patient Forms provides health care facilities the capability for their patients to fill out their HIPAA acknowledgment, personal/ insurance information and medical histories online.

The practice receives the information before the patient’s visit and can validate insurance coverage and red-flag any medical problems.

Is It Time For Your Practice To Become Paperless?

  • Illegible handwritten forms could lead to serious mistakes – what if a patient’s medication or allergies are not readable or mistyped into the EHR? With Submit patient Forms, all information is received clearly printed and easy to read. About 100,000 Americans die from medical errors in hospitals every year. Source: Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, Editors; Committee on Quality of Health Care in America, Institute of Medicine (2000). To Err is Human. Washington, DC: National Academy Press.
  • Almost every Electronic Health Records manufacturer emphasizes that your practice must become paperless to meet the government’s directive of lowering heath care costs and minimizing mistakes. However, they suggest that in order to become paperless, the health care facility must retype all the information provided by the patient on handwritten forms into their EHR or scan all the forms. SubmitPatientForms provides the missing link and first step to a paperless practice.
  • Submit Patient Forms gives health care providers an Internet presence, whether or not the practice has a website. When the patient clicks on the forms link sent by the office, they will navigate to a page with the practice name and logo as a banner, while actually, they have not left our secure server. The patient’s perception will be of hi-tech capabilities on the doctor’s own website. This will create a powerful branding effect and marketing tool for the practice.

Our Health Care Practitioners All Love Online Patient Forms

“We have been extremely satisfied with the introduction of online patient forms into our practice. Having these forms completed in advance makes it possible for us to prepare patient charts and confirm insurance information before scheduled appointments. Eligibility, which has often been a problem in the past, has been eliminated by use of the forms. Most patients like being able to do these forms at their leisure. I would highly recommend Submit Patient Forms.” Susan Tomkin, Office Manager Chelsea Eye & Cosmetic Surgery Associates New York, NY