AI-Powered Intake for Healthcare Clinics

Your intake PDF,
turned into a smart online form
in minutes.

Describe your form or upload your PDF. The AI builds it with logic, validation, and HIPAA compliance included. Patients complete it on their phone before they arrive.

Press Enter to build your form · Or upload an existing PDF intake

New patient intake for PT clinic Behavioral health intake with consent Speech therapy, pediatric patients OT evaluation intake form
HIPAA-ready BAA included No credit card required Live same day

Why Promptintake

Everything intake forms should be.

Most form tools start with a blank page. You start with the form you already have.

Live the same day

Upload your existing PDF and the AI recreates it: complete with field types, validation, and conditional logic. No rebuilding from scratch.

Compliance included, not added

HIPAA-ready infrastructure and a Business Associate Agreement are part of every account.

Clean records, automatically

Every completed intake generates a finalized, signed PDF. No missing fields. No staff retyping handwritten forms.

How It Works

Three steps to a live intake form.

No technical skills needed. No setup call. No starting from scratch.

1

Start with what you already have

Upload your existing PDF or describe your form in plain language. You don't need to know how to build forms.

"New patient intake. If under 3, ask about Early Intervention history."
2

AI builds it for you

The system reads your form and creates a digital version in seconds. Review it, tweak anything you want, then publish.

  • Right input type for every question
  • Conditional logic added automatically
  • Answers are validated for the field type (dates, phone numbers, required fields, and more)
  • Responses structured so nothing is messy
3

Patients fill it out before arrival

They get a simple link. They fill it out on their phone. Validation prevents missing fields. A finalized, signed PDF is generated the moment they submit.

AI-generated form / Westside OB-GYN · New Patient Intake ✓ HIPAA Secure
First Name *
Maria
Last Name *
Santos
Date of Birth *
03 / 15 / 1989
Insurance Provider
Aetna
Biological Sex *
Female
Conditional: patient selected Female
Are you currently pregnant or could you be?
Yes — due date: September 2025

What Changes

Your front desk will notice immediately.

✕ Today
Emailing PDFs patients never open
Calling patients to chase down missing forms
Staff retyping handwritten intake sheets
Appointments delayed because intake isn't done
Guessing whether your form tool is HIPAA compliant
✓ With Promptintake
Patients complete intake on their phone before arrival
Required fields prevent incomplete submissions
A clean, signed PDF is generated automatically
Check-ins run on time, every time
BAA included. HIPAA-ready. No guessing.

Security & Compliance

Move fast.
Don't cut corners.

This isn't a generic form builder that happens to handle health information. Promptintake was built specifically for healthcare workflows from day one.

Business Associate Agreement included

Every account comes with a signed BAA. No extra steps, no extra cost.

HIPAA-ready infrastructure

Patient data is encrypted in transit and at rest. Always, by default.

HIPAA-Ready by Default

Not a checkbox. Not an add-on. Compliance is baked into every account from the moment you sign up.

BAA Included Encrypted Storage Secure Submissions Configurable Retention Healthcare-Specific

Pricing

Simple. Predictable. Fair.

You only pay for completed intakes. Not seats. Not drafts. Not abandoned forms.

Starter Plan
$30/mo
Includes 10 completed intakes · Pay per intake after that
What's included
  • 10 completed intake submissions per month
  • Unlimited seats
  • Unlimited form drafts and edits
  • HIPAA-ready infrastructure
  • Business Associate Agreement
  • Automatic signed PDF on every submission
  • AI form builder from PDF or description
We never charge for Seats Draft forms Form views Abandoned submissions
Start for $30/month

No credit card required. Cancel anytime.

Who It's For

Built for clinics that keep healthcare personal.

If you're still emailing PDFs or intake is slowing down your front desk, this was made for you.

Speech & Language Clinics

Behavioral Health Practices

PT, OT & Rehab Clinics

Specialty Medical Offices

FAQ

Questions we hear a lot.

Is this actually HIPAA compliant, not just "HIPAA friendly"?
Yes. A Business Associate Agreement is included with every account. Patient intake data is encrypted in transit and at rest, stored according to your settings. We built this specifically for healthcare, not adapted from a generic form tool.
How long does setup actually take?
Most clinics are live the same day. Upload your PDF or describe your form, review what the AI builds, make any edits you need, and publish. No training required. No implementation call.
What if a patient starts the form but doesn't finish?
It doesn't count. You're only charged for completed, finalized intake submissions. Abandoned or partial forms don't touch your limit. Ever. You can still view any partial responses, even if the patient never submitted.
Do I need to rebuild my forms from scratch?
No. That's the whole point. Upload the PDF you already use. The AI reads it, recreates it as an online form with proper field types and conditional logic, and you review the result. Your existing form is the starting point.
What happens after 10 completed intakes?
You're billed per additional completed intake at a flat rate. No surprise charges, no forced upgrades. Your $30/month baseline stays the same.

Get Started

Stop chasing paperwork.
Start seeing patients.

Upload your PDF today and have a live, HIPAA-ready intake form before end of day.

Create My Form Upload a PDF
HIPAA-ready BAA included No credit card required