Patient forms

Patient forms that actually get filled out

Send secure mobile friendly packets so patients complete registration, medical history, and consents before they step into your waiting room.

operaitor.app/forms/new-patient

Step 2 of 12Patient info

Patient information *

If you are filling this out for someone else, use their information. Fields with an asterisk are required.

First name *

Jonathon

Preferred name

John

Last name *

Lance

Date of birth *

MM

07

DD

02

YYYY

1956

Gender *

Social Security Number *

123 12 1234

Marital status *

Married

How did you hear about us?

Google search

Preferred contact method

Text message
9:18
SD

Smile Dental

Business Messages

i

Today 9:18 AM

Hi Robert, this is Smile Dental. Please complete your secure intake forms before your visit on Thu, Dec 12 at 3:30 PM.
smiledental.com/forms
Forms usually take 3–5 minutes and can be finished on your phone.
Got it, I will fill them out now.
Text message…

Digital intake that works for your team.

A simpler, automated way to collect patient information before the visit.

Operaitor

  • ✓ Syncs with practice system
  • ✓ Auto-sends forms by appointment type
  • ✓ Smart form logic
  • ✓ Fully customizable
  • ✓ No scanning or printing
  • ✓ Eliminates manual data entry
  • ✓ HIPAA compliant

Paper Forms

  • ✘ No automation
  • ✘ No sync
  • ✘ No branching logic
  • ✘ Requires printing
  • ✘ Manual data entry

PDFs

  • ✘ No automation
  • ✘ Cannot branch questions
  • ✘ Manual upload
  • ✘ Not designed for mobile
  • ✘ Often not HIPAA compliant

Other Tools

  • △ Limited automation
  • △ Basic customization
  • △ Partial logic support
  • △ Requires manual review
  • △ Inconsistent HIPAA compliance

Save 10 minutes per patient. 3 hours a day. 60 hours a month.

Digital forms remove clipboards, retyping, and phone intake so your front desk can focus on patients in front of them.

FAQ

Frequently Asked Questions