Pricing Security
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Form builder

Build your own intake and assessment forms.

Design intake forms, assessments, and consent documents once, then reuse them across every client. Your practice, your questions.

BAA included No download required
Dr. Sample Provider, LCSW

New Intake Form

Draft · autosaving
1 Patient Info2 History3 Consent
First Name *
First name
Reason for Visit *
Short answer
Consent to Treatment *
Signature
How it works

Form Builder in three steps

1

Drag in components

Choose from content, list, personal info, selection, scale, and signing blocks.

2

Arrange into sections

Group fields into steps, mark them required, and preview on desktop, tablet, and mobile.

3

Save & reuse

Publish once, then attach your form to intake, assessments, and teleconsent.

Why it helps

Built to make your day easier

Drag-and-drop

Build forms without any technical setup.

Reusable library

Save forms and reuse them across clients.

Powers assessments

Turn any form into a scored assessment.

Powers teleconsent

Build the consent documents you need.

The builder

A full drag-and-drop canvas

Drag components onto the canvas, arrange them into sections, and preview on desktop, tablet, and mobile as you build. Autosave keeps everything as you go.

Dr. Sample Provider, LCSW

Therapy Telehealth Consent

Please read carefully and sign.
1 Patient Info2 What Is Telehealth?3 Benefits4 Risks & Limits
This consent is for all telehealth services provided to me by Dr. Sample Provider, LCSW through the HIPAA LINK secure telehealth platform.
First Name *
First name
Last Name *
Last name
Date of Birth *
Month / Day / Year
Content
Paragraph
Header
Callout
Image
Video
Divider
Lists
Bullet
Numbered
Lettered
Personal Information
First Name
Initials
Last Name
Date of Birth
Address
Email
Phone Number
Selection & Scale
Dropdown
Radio
Checkbox
Scale Matrix
Stars
Emoji
Signing
Signature
Initials

Try Form Builder free for 14 days

Use the whole platform free for 14 days. No credit card required, and keep a free account after.

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HIPAA and GDPR compliant · BAA included
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