HIPAA-Compliant Patient Intake.
Powered by AI.
Form Orah helps medical practices, clinics, and healthcare providers capture patient intake, qualify new patients, and automate follow-up — all in a HIPAA-compliant environment.
Smarter Patient Intake. Zero Manual Work.
Replace paper forms and generic contact forms with AI-powered intake that qualifies patients and automates your front-office workflow.
Patient Intake Forms
Collect insurance info, medical history, chief complaint, and appointment preferences. Pre-built templates for primary care, specialty, dental, and mental health practices.
AI Lead Scoring
Automatically qualify new patient inquiries by urgency, insurance coverage, and service match. HOT patients get immediate follow-up so they don’t book elsewhere.
Automated Follow-Ups
Send personalized appointment reminders, intake instructions, and follow-up care sequences automatically. Response piping personalizes every message.
E-Signatures + Audit Trail
Collect consent forms, financial agreements, and release authorizations with legally-binding e-signatures and a full SHA-256 audit trail.
EHR & CRM Integrations
Connect to HubSpot, Salesforce, Zapier, or Google Sheets to automatically route patient intake data to your existing practice management workflow.
Multi-Step Forms
Break lengthy intake forms into manageable steps. Patients complete at their own pace with save-and-resume support — reducing abandonment on long intake forms.
Replace Your Paper Forms in Minutes
Pick a Healthcare Template
Choose from patient intake, new patient inquiry, consent form, or specialist referral templates — all pre-built for healthcare workflows.
Embed on Your Practice Website
One script tag works on WordPress, Wix, Squarespace, Webflow, or any website that supports custom HTML. No developer needed.
AI Qualifies & Routes Patients
New patient inquiries are scored and routed automatically. Urgent cases get flagged as HOT — your team responds before the patient goes elsewhere.
Forms for Every Healthcare Setting
From solo practitioners to multi-location group practices — Form Orah adapts to your intake workflow.
Primary Care & Family Medicine
New patient registration, insurance verification, and medical history collection — all in one HIPAA-compliant form with AI qualification and automated appointment follow-up.
Mental Health & Therapy Practices
Sensitive intake that feels human. Collect presenting concerns, prior treatment history, and insurance details with multi-step forms designed to reduce patient anxiety.
Dental & Orthodontics
New patient intake, treatment interest forms, and appointment requests — with automated follow-up for patients who inquire but don’t book immediately.
Wellness & Integrative Medicine
Capture health goals, current conditions, and treatment preferences. AI scores inquiries by service match and commitment level to focus your consultation time on the right patients.
“The e-signature + AI follow-up combo is a game changer. Patients get a professional intake confirmation seconds after submitting. It makes our practice look like a much larger operation.”
Ready to Modernize Your Patient Intake?
Join healthcare providers using Form Orah to capture, qualify, and follow up with patients automatically — in full HIPAA compliance.