Digital Patient Intake for Independent Dental Practices
Collect dental history, insurance details, and treatment consent digitally — before your patients sit in the chair.
New patients fill out 4-6 pages of paperwork on a clipboard. Your staff re-types everything. Half the medical history fields are left blank.
Free plan available · No credit card required · 14-day trial on paid plans
Built for Independent Dental Practices
- Pricing that works for solo practitioners and small group practices — not DSO budgets
- No contracts, no hidden fees. Simple monthly pricing you can cancel anytime.
- Runs alongside your existing practice management software — no replacement needed
Save time on every patient visit
Digital intake eliminates manual data entry, reduces errors, and lets your staff focus on patient care.
20+
Staff hours saved per month
7 min
Average patient completion time
No more missing allergy information or illegible medication lists
Review dental history, medications, and insurance before the appointment
Built for Dental Intake
Pre-built fields designed for the specific needs of your dental practice.
Dental History
Fillings, crowns, root canals, extractions, implants
Last Dental Visit
When was your last dental cleaning or exam?
Dental Anxiety Level
None, mild, moderate, or severe
Dental Insurance Provider
Delta Dental, MetLife, Cigna, etc.
X-Ray Consent
Consent for diagnostic radiographs
Current Medications
Including blood thinners and bisphosphonates
Up and running in minutes
Three simple steps to digitize your dental patient intake.
Create Your Form
Use the drag-and-drop builder with pre-built dental sections. Add specialty-specific fields and customize everything to match your practice.
Share With Patients
Send patients a simple link before their appointment. They complete forms on any device - no app, no login. Auto-save protects their progress.
Review Submissions
View completed intake forms in your admin dashboard. Search, filter, and mark as reviewed - all before the patient arrives.
Everything your dental practice needs
Purpose-built features for modern dental patient intake.
Dental History Collection
Comprehensive dental history with checkboxes for common procedures. Patients report accurately before they arrive.
Insurance Verification
Collect dental insurance details including group number and subscriber info before the appointment.
Consent Forms
Digital consent for x-rays, treatment plans, and HIPAA acknowledgment. Signed on any device.
Pediatric + Adult Forms
Create separate intake forms for pediatric and adult patients with age-appropriate fields.
Frequently asked questions
Common questions about PatientForms.io for dental practices.
Still have questions? Reach out to our team
Ready to modernize your dental intake?
Join hundreds of independent practices that have eliminated paper intake forms. Start free - upgrade when you're ready.
- Free plan available - no credit card required
- HIPAA-compliant from day one
- Set up your first form in minutes