Create a wonderful patient and staff experience. Customizable and HIPAA compliant to help streamline intake processes, reduced errors, faster patient information collection, and increased efficiency.
Sign UpSecurely encrypted and HIPAA compliant for peace of mind when managing protected health information (PHI).
Boost patient satisfaction by giving them an easy way to fill out paperwork before their appointment on the device of their choosing.
Save on costly office expenses and administrative overhead with electronic contactless patient intake tools. Get paid faster with automated copay collection.
Reduce staff burnout by automating the necessary but duplicative repetitive and monotonous tasks. Get accurate insurance information and real-time health data before the encounter
Send us your existing forms, choose from pre-built templates or create your own.
Send forms directly via text (SMS) or Email, Embed your forms on your website, or give patients a tablet to complete forms in your office
Patients will fill out the questionnaire and electronically sign the consent forms.
You'll be notified when a patient completes a form.
Review, download, or print. Save them as a PDF and CSV.
Untangle your organization from the headaches that come with managing patient documents. Experience our award-winning intake management solution today.
We are truly humbled by the kind words and glowing reviews we receive from our valued customers. It is a privilege to have earned their trust and satisfaction.
“As a primary care clinic, we use alot of forms (patient intake, questionnaires, health histories, screening tools, etc.) that were formally on paper. We asked Zentake to make them all electronic so that patients can complete on an iPad. Everything has been great. professional/personalized quality of the forms, excellent and prompt customer service, ease of use.”
“They can do whatever we ask! Checkboxes, columns, graphs, signatures... any detail we wanted on our questionnaire was met with a "no problem!" It is sooo easy to use that everyone in the office figured it out in a matter of minutes. Changes are easily and quickly made”
“100% worth it! Overall: Wonderful customer service, fast response times, affordable, and just fits my business needs.”
Collect patient signatures on every form and on any device.
Keep PHI protected, stay compliant and reduce the risk of future HIPAA violations.
Generate a CSV or PDF file that you can easily download, print, or send.
Have your patient take a picture of their insurance and ID cards So you can verify before the appointment.
Easily combine multiple forms into one new packet to send to patients.
Convenient access for patients to complete forms via mobile devices to improve satisfaction.
Safely collect sensitive PHI and store it HIPAA-compliantly online. Keep medical data secure and organized under a patient account.
Pre-fill office use questions before sending the form to the patient. Or sign off after the form is complete
Make your forms flow more efficiently. Show or hide certain questions, or make them conditionally required.
Send a text message and email to your patients to complete your forms. allowing patients to complete, sign, and submit forms from anywhere, at any time, on any device.
Give patients the option to sign and complete forms in the office with an iPad or tablet.
Embed your forms directly on your website for a seamless patient experience