Patient & Client Intake Forms for agencies.
HIPAA-friendly intake forms with signature, file upload, and conditional sections. Replaces the 'fill out this PDF and email it back' antipattern that's been killing your intake completion.
Why agencies teams ship patient & client intake forms on AnimationFunnel.
The form-type playbook, applied to the agencies buyer journey.
Encryption + retention controls
TLS in transit, AES-256 at rest. Configurable retention windows so intake data deletes per your compliance policy.
Signature + file upload
Draw-to-sign on mobile + desktop. File upload for ID, insurance card, prior records. All in one guided flow.
Conditional sections
New patient vs returning. Adult vs pediatric. Insurance vs self-pay. Show only the sections relevant to each intake.
Sync to your EHR, SIS, or case-management tool
Webhook integration pushes intake data to Athenahealth, Epic, Salesforce Health Cloud, Clio, MyCase, or any system with a webhook endpoint. The receptionist stops re-keying data into the chart.
One workspace. Every client. Every funnel.
Multi-workspace setup, per-client custom domains, and conversion analytics each client can see. Stop juggling Typeform seats — one platform handles every account.
Custom domain per client
Run forms on `pages.client-domain.com` for every account. No Typeform branding. No re-explaining the URL on every kickoff call.
Workspace-level access control
Owner / admin / editor / viewer per workspace. Bring a junior into one client account without exposing the others.
Reportable analytics
Per-step funnel, source attribution, and conversion analytics each client can see — dashboards your AM can hand off without an export-to-CSV ritual.
Agencies patient & client intake forms templates.
Pre-built and ready to fork. Customize the copy and ship in minutes.
Browse all templatesWebinar Registration
Splash welcome, purple palette, auto-advance for high-volume registration.
Lead Capture Form
High-converting minimal lead capture form for digital marketing.
Newsletter Lead Magnet
Single-page email capture with name, role, and topic preference.
Ebook Download Lead Magnet
Teal minimal welcome, single-step ebook download gate.
Podcast Guest Pitch
Bold red hero with microphone background, pitch essays and audio samples.
Customer Satisfaction Survey — Step by Step
Conversational survey for NPS and satisfaction measurement.
Patient & Client Intake Forms for agencies — common questions
Is it HIPAA-friendly?
Yes. Encryption in transit + at rest, audit logs, configurable retention, and BAA available on the Pro plan.
Can I capture digital signatures?
Yes. Signature fields render a draw-to-sign canvas on mobile + desktop with audit-trail metadata.
Will it accept insurance card uploads?
Yes. File-upload fields accept images and PDFs up to 25MB. Files are virus-scanned and stored encrypted.
More for agencies
Ship your agencies patient & client intake form today.
Free while in beta · Server-side tracking included