edgeMED Help Center > Electronic Health Records > EHR

Patient intake forms.

 

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About Patient Intake Forms


When you use patient intake forms with our software, your patient documents are automatically saved to the Patient Dashboard in the documents section. Your front desk and records staff no longer need to manually scan and upload intake documents to the patient's chart. We are doing the work for you!

Our intake forms are fully customizable and include a number of pre-built components as well as optional custom components. This means that you will always be able to capture the important information that you need for your patients. The exact type and arrangement of the intake form options are completely up to you! Using intake forms with our system allows your practice to provide patients with these documents as soon as they are scheduled for an appointment. Since they receive them electronically as soon as you send them, patients no longer have to wait until they arrive at the office to fill out paperwork, eliminating schedule delays. 

Use intake forms to get your patient's full demographic profile by using Quick Add to create the patient in the system. Then, send the patient an intake form to collect their demographics and automatically add the details to their profile.
Access Intake Form ManagementLogin and select Intake Form Management from Utilities.


Access Intake Form Management

Login and select Intake Form Management from Utilities.

 

Create a New Intake Form


Information in the Medical History plugin will automatically pull from the information in the PFSH section under Medical History.

Click + Intake Form.


Click + Intake Form.

 
EHR_Intake Forms_add component.png
 

Choose Form Components

Add prebuilt components to your intake form by dragging them from the Prebuilt components list to the Selected components list. Prebuilt components are for standard patient demographics and insurance fields.

  Click here to see the list of available prebuilt components

  • First name
  • Middle name
  • Last name
  • Preferred name
  • Date of birth
  • Patient sex
  • Patient address
  • Preferred phone
  • Home phone
  • Cell phone
  • Work phone
  • Other phone
  • Email
  • Race
  • Ethnicity
  • Preferred language
  • SSN
  • Sexual orientation
  • Gender identity
  • Marital status
  • Employment status
  • Preferred communication method
  • Time zone
  • Emergency contact
  • Primary insurance
  • Secondary insurance
 


 

Add a custom component by entering a name or question to display for the patient. Then choose a component type and click Add.

  Click here to see the list of available custom components

  • Header
  • Free text box
  • Free text area
  • Phone number
  • Date picker
  • Number
  • Radio select
  • Single select dropdown
  • Multi select dropdown
  • Address
 
EHR_Intake forms_delete component.png
 

Rearrange components by clicking on the component and dragging it to the location where you want it to appear. Remove components from the selected list by clicking x icon to the right of the component name.

Next, Enter a Name for your intake form (located at bottom of screen).

When done, click Preview to see how the intake form will appear to patients.

 


 

Click Modify to return to the previous screen and continue editing your form. Click Save to create the intake form.

Intake Forms cannot be edited once they have been saved. Once you select Save, you will be asked to confirm that you want to save the form.
 
EHR_Draft_edit intake form.png
 

Save as Draft and Finish Later

If you aren't ready to complete an intake form you're working on, you have the option to save it as a "Draft" and finish setting it up later. To save a form as a draft, click Save Draft in the create intake form page or in the intake form preview.

Draft intake forms will appear in the intake form list with a Draft tag and can be completed by clicking on the edit icon.

Draft intake forms are considered 'incomplete' and will not be available to send to patients until they have been completed and saved from the intake form preview page.


Create a New Form from an Existing Intake Form


EHR_copy intake form.png
 

Navigate to the existing form in the list and click on the Duplicate icon. On the Create Form screen that follows, make any necessary changes or additions to the form components and update the form name. Then, Preview and Save the form as normal.

Both active and inactive intake forms can be duplicated. The new form created this way will automatically be saved to the active intake form list.
 

Deactivate an Intake Form


EHR_deactivate intake form.png
 

To deactivate an intake form, and prevent it from being sent to patients, click the Deactivate icon on the active form list. A confirmation message will appear. Click Deactivate.

The form will automatically move to the inactive list, and staff members and providers will no longer be able to send the form to patients. Patients who have already been sent this form, but haven't completed it yet, will still be able to complete the intake form.

Reactivate an Intake Form


EHR_reactivate intake form.png
 

To reactivate a form from the Inactive list, click the Reactivate icon on the inactive form list. A confirmation message will appear. Click Activate.

The form will automatically move to the active list, and the form will be available for staff and providers to send to patients.

 

Sending Intake Forms from Electronic Health Records


Click on the patient's Name to open the patient's profile.


Click on the patient's Name to open the patient's profile.

 
Click Patient Forms.


Click Patient Forms.

 
Click Intake Forms.  Next, select the checkbox for the intake forms you want to send to the patient and click Send.


Click Intake Forms. Next, select the checkbox for the intake forms you want to send to the patient and click Send.

Patients must be provided access to the Patient Health Records (PHR) portal in order to view and complete intake forms sent from the EHR. Patients will be notified via email that there are items in the patient portal that require their attention. The patient is able to log into the PHR and complete the intake form. All completed patient intake forms will be saved to the Patient Documents section of the patient's dashboard under Electronic Patient Forms.
 

Sending Intake Forms from Scheduler


Send intake forms when you create an appointment or when you are in the patient’s profile in Scheduler. Forgot to send intake forms while creating an appointment? You can also send intake forms from an existing appointment. In this section, we’ll show you how to send Intake forms from New Appointments, Existing Appointments, and from the Patient Profile.

To Send Intake Forms from New Appointments


Create an appointment.

Create an appointment.

Click the Patient Forms drop-down.

Click the Patient Forms drop-down.

Select the intake forms to be sent to the patient.  When done, click Save.The intake forms will be sent to the patient’s portal.The Last Sent Date is updated as soon as the forms are sent.The Completed Date is updated as soon as the patient completes the form.

Select the intake forms to be sent to the patient. When done, click Save.

The intake forms will be sent to the patient’s portal.

The Last Sent Date is updated as soon as the forms are sent.

The Completed Date is updated as soon as the patient completes the form.

 
 

To Send Intake Forms from Existing Appointments


First, click on an existing appointment.  Once an Appointment is selected from the Scheduler screen, this pop-up displays. Click on the Patient Forms drop-down.

First, click on an existing appointment. Once an Appointment is selected from the Scheduler screen, this pop-up displays. Click on the Patient Forms drop-down.

Select the intake forms to be sent to the patient.  When done, click Send.  The intake forms will be sent to the patient’s portal.

Select the intake forms to be sent to the patient. When done, click Send. The intake forms will be sent to the patient’s portal.

 

To Send Intake Forms from the Patient Profile


First, navigate to the patient profile screen.  Next, click Patient Forms.


First, navigate to the patient profile screen. Next, click Patient Forms.

 
Click the Intake Forms tab.  Select the intake forms to be sent to the patient.  When done, click Send.  The intake forms will be sent to the patient’s portal.


Click the Intake Forms tab. Select the intake forms to be sent to the patient. When done, click Send. The intake forms will be sent to the patient’s portal.