Elegantly encourage service and product engagement from your homepage or any landing page with this progress-tracking dynamic template for new patient intake.

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Flexibly appearing anywhere inside your website, the fully brandable new patient intake form both simplifies and elevates the (boring!) traditional online form, asking qualifying multistep questions and capturing key information in a way that displays form progress. Form support for images and colourful action buttons guide the new patient between form pages. This helps reduce form abandonment and significantly cuts down on registration funnel fatigue.

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For greater application clickthrough and an easier online form experience, grab our signature new patient intake dynamic template.

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