Looking for Dental Intake Forms For Your Practice?

HIPAA-Compliant Dental Forms. HIPAAtizer converts your existing forms to online dental intake forms.

With HIPAAtizer’s online forms, you can simplify the intake process by allowing your patients to digitally fill-out intake and other forms. The flexibility of using digital forms allows for convenient use on phones, tablets or computers. Patients can even securely fill-out an intake form from home saving valuable time in the dentist’s office.

Looking for Dental Intake Forms For Your Practice?

Benefits of Using HIPAAtizer

  • Keep your own forms! Dentists love that HIPAAtizer will convert their existing paper and PDF forms into fully digital dental intake forms. Keeping your existing formats saves time for the dentist when they are reviewing submissions.
  • Customizable features to showcase your exact requirements. With the form builder, you can make sure every field is covered for your practice. If you need to add an area to list allergies or pre-existing dental work for a new patient to fill out, it is as simple as clicking a button.
  • All forms can be styled with your branding and design to match your practice. Give your forms a cohesive and professional look. You can easily add logos or fonts to match your brand image.
  • Access to a printable dental intake form in your original PDF design. Having a digital form won’t stop you from accessing a paper one if you need. Printable access allows you flexibility for staff and patients.
  • Your forms will always be HIPAA Compliant. There is no second guessing when it comes to HIPAA Compliance. You can have peace of mind that your forms are HIPAA Compliant.
dental form example

See Our Forms in Action!

HIPAAtizer offers several different form templates for dental specific services.
Take a look at the preset templates that can be edited to suit your needs:

Dental Intake Form

Dental Intake Form

Extraction Referral Form

Extraction Referral Form

Do you have your own form and want us to convert it?

Upload Your Form. We will convert it for free!

Integrate your form with Open Dental and Dentrix

Sign Up to get started or Schedule a Demo.

open dental dentrix integrations

Other features we offer:

CANVAS

Integrate diagrams and images into your forms.

ePAYMENT

Stripe and PayPal integrations in HIPAAtizer allow you to accept payments from your customers quickly and efficiently.

eSIGNATURE

When you use HIPAAtizer for your HIPAA-Compliant online forms, you have the ability to sign your forms with your E-signature for added convenience.

SUBMISSION ACCESS MANAGEMENT

Send and receive form submissions in encrypted PDF format in your email attachments.

STYLING

If you want to customize the look and feel of your HIPAA-Compliant form but don’t have the necessary coding experience, our visual theme editor can make it possible.

QR CODE

Share your HIPAA-Compliant forms with your customers using a QR code with a unique link.

FORM PACKET

Our efficient Form Packets allow you to link various forms together.