Securely collect client info with an online intake form. Convert data into PDFs. Perfect for medical and beauty businesses. Get HIPAA compliant today!
Templates
Don’t want to build your online intake form from scratch? Whether you need patient intake forms for your medical clinic, salon, or counseling services, Jotform has readymade client intake form templates you can customize and embed without any coding.
Benefits
From client intake forms to medical history to consent forms, protect client health data every step of the way. Whether you run a medical practice or a beauty salon, you can protect all information collected through your online forms with HIPAA compliance and a signed Business Associate Agreement (BAA).
Offer patients and clients a contactless way to provide their information. They can fill out your online intake forms from any computer, tablet, or smartphone — and you’ll instantly receive responses in your secure Jotform account.
Create the perfect intake form for your business without writing a single line of code. With our drag-and-drop Form Builder, advanced form fields and widgets, and 100+ integrations, you can customize your intake form to match your branding and meet your exact needs.
Build professional, efficient e-signature documents to use with each new client. Share them through a link, by email, or by embedding them in your own website for easy access. Automate your signature collection workflow and send signed documents directly to a cloud storage service of your choice with our handy integrations.
Testimonials
Whether you’re collecting intake forms for your beauty business or medical practice, Jotform makes it easy to ditch paper forms and be more efficient. Learn how to create intake forms and gather important information online from any device — including contact details, file uploads, payments, and more.
All your questions about Jotform — answered. Check out our FAQs for answers to common questions, or contact our support team for further information.
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An intake form securely collects client data online without any physical paperwork.
Client intake forms are ideal for quickly gathering sensitive client data for organizations like medical clinics, counseling centers, and nail salons. Once a client submits a form, their submissions are instantly synced and stored securely in your online account — so you’ll never lose track of anything.
Start from scratch or choose one of our free, ready-made intake form templates — then customize it to suit your specific needs without any coding using our drag-and-drop builder.