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Digital Forms · intake and consent

Forms patients fill out before they arrive. New

Patient intake and consent forms, completed digitally and filed straight to the chart. No paper to scan and nothing to re-key.

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Forms · CypressLive

Form library sent and completed

New Patient Intake
Sent 42 · completed 38
Active
Medical History
Sent 42 · completed 40
Active
HIPAA Consent
Sent 42 · completed 41
Active
Financial Policy
Sent 42 · completed 36
Active
Treatment Consent
Sent per procedure
On request

Completed form filed to the chart

New Patient Intake · submitted Jul 28
Patient
Jonah V.
Chart
Chart #22841
Signature
Captured
Insurance card
Front and back
Filed
Automatically
Status
Complete
Submissions land in the patient's chart, not an inbox.
Product view · figures illustrative
  • Digital intake and consent
  • Written straight to your PMS
  • No paper, no scanning
Included in every MyDentalForce plan.
Robo, the MyDentalForce mascot, holding a checklist
See it on your numbers

See forms on your own intake flow.

Book a 30-minute walkthrough and we will show the form set your offices would use.

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or email us at info@mydentalforce.com