patient intake forms

Intake that fills itself in — and verifies on submit.

We text every patient a short, phone-sized intake form the moment they book — and chase the stragglers. The second they hit send, their insurance is verified and the answers are in their chart.

← All workflows

tuesday evening · 7 days before the visit

intake agent on

6:12 pmsms

Intake form texted to Maria — the moment her exam hit the schedule.

Hi Maria — it’s Premier Eye Care. You’re booked with Dr. Patel, Tue 6/24 at 10:40 am. Your intake form (about 4 min, on your phone): premier-eye.gruntwrk.so/intake

6:19 pmform

Submitted — from the couch.

insurance card photohistorymeds
6:19 pmsystem

insurance verified the second she hit send · already in her chart

✓ seven minutes, text to chart — no clipboard, no retyping

the problem

Eleven minutes on a clipboard. Then someone retypes it.

The patient comes in early to fill out paper in the waiting room. The front desk squints at the handwriting — is that a 7 or a 1 in the member ID? — and keys it into the EHR between phone calls. Insurance gets checked late, or not at all. Three chances for a typo before the exam even starts.

the patient has typed all of this before · every year · on the same clipboard

how it works

Sent ahead. Filled on a phone. Verified on submit.

01

Texted on booking

The moment an appointment hits the schedule, the form goes out — a link, not an app, sized for a phone.

02

Filled out anywhere

Couch, parking lot, lunch break. Demographics, history, meds, a photo of the insurance card. About four minutes.

03

Verified on submit

Hitting send fires the same eligibility engine as your nightly verification. Benefits confirmed in seconds.

04

Written to the chart

Answers and the benefit summary land in RevolutionEHR as structured data. Nobody retypes a thing.

no reply? the agents nudge at two days out — and again the morning of

the handoff

What lands in the chart.

By the time Maria checks in, her chart reads like someone spent twenty careful minutes on it. Demographics as she typed them. The benefit summary attached. History in structured fields your doctor can actually search. Your front desk said good morning — that was the whole job.

verified · 7 days early

Maria Alvarez · patient record

RevolutionEHR

Demographics

complete

Name, DOB, address, phone — exactly as the patient typed them

Insurance

verified

VSP · member ID ••••4821 · benefit summary PDF attached

History & meds

complete

Conditions, medications, allergies — structured fields, not a scanned page

retyped by your front desk: nothing

one engine

A form submission is just an on-demand verification.

Intake runs on the same eligibility engine as your nightly verification — so the moment a patient submits, their benefits are confirmed exactly the way tomorrow’s schedule is checked overnight.

When it’s not sure

A good colleague knows when to ask for help.

If a patient’s answers don’t line up — a policy number that won’t verify, a required field left blank — it’s flagged for your team instead of pushed through. No bad data lands in the chart.

where it fits

Rides alongside verification.

Intake switches on alongside nightly verification — the two share the same eligibility engine.

  1. 1Week 1–2

    Foundation & SOP

    We get into a shared chat with your team, pull your call recordings, and build a custom SOP — services, providers, insurance rules. You edit it, we refine, you sign off.

    Learn more
  2. 2Week 3

    Marketing recall

    The first workflow to go live. We pull lapsed patients, re-verify their benefits, and launch a recall campaign — booking exams on reply.

    Learn more
  3. 3Week 4–5

    Verification & intake

    Nightly insurance verification starts running. Intake forms go out before visits and verify insurance the moment a patient submits.

    You are here

  4. 4Week 6–8

    Pickups, then calls

    Order-pickup texts switch on. Then the call agent — the hardest, highest-touch piece — goes live after-hours first, and we fine-tune it to full coverage.

    Learn more
See all 9 pieces of the workforce →

Retire the clipboard.

text → couch → verified → charted · no human involved

HIPAA-compliantBAA providedyour data stays in your systems