Digital Patient Intake for Independent Podiatry Practices
Collect foot and ankle history, diabetic screening, and insurance details digitally — before your patients arrive.
Podiatry intake forms are uniquely detailed. Diabetic foot screening, injury history, gait concerns — your paper forms are 6+ pages and still miss critical details.
Free plan available · No credit card required · 14-day trial on paid plans
Built for Independent Podiatry Practices
- Affordable for solo podiatrists and small group practices — not priced for hospital systems
- No contracts. No setup fees. Start free and upgrade when you need more forms.
- Simple setup that your staff can manage without IT support
Save time on every patient visit
Digital intake eliminates manual data entry, reduces errors, and lets your staff focus on patient care.
12+
Staff hours saved per month
6 min
Average patient completion time
Complete diabetic screening data before the exam — no blank fields
Review injury history, current treatments, and referral source before the patient arrives
Built for Podiatry Intake
Pre-built fields designed for the specific needs of your podiatry practice.
Foot/Ankle Conditions
Plantar fasciitis, bunions, hammertoes, neuropathy, ulcers
Diabetic Status
Type 1, Type 2, pre-diabetic, or none
Last Foot Exam Date
When was your last podiatric exam?
Footwear Type
Athletic, dress, orthopedic, custom orthotics
Pain Location
Heel, arch, ball of foot, toes, ankle
Activity Level
Sedentary, light activity, moderate, active
Up and running in minutes
Three simple steps to digitize your podiatry patient intake.
Create Your Form
Use the drag-and-drop builder with pre-built podiatry 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 podiatry practice needs
Purpose-built features for modern podiatry patient intake.
Diabetic Foot Screening
Built-in diabetic screening questions — neuropathy symptoms, ulcer history, A1C levels. Critical data collected before the exam.
Injury & Pain Assessment
Structured pain location, onset, and severity fields. Get a clear picture before the patient walks in.
Referral Tracking
Capture referring physician information and referral reason directly in the intake form.
HIPAA-Compliant Security
AES-256 encryption, audit logging, and secure data handling. Every field is encrypted at rest.
Frequently asked questions
Common questions about PatientForms.io for podiatry practices.
Still have questions? Reach out to our team
Ready to modernize your podiatry 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