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Phoenix, AZ

Patient intake that fills itself in.

A step-by-step digital intake form for dental, medical, and pediatric offices. Patients verify their phone, photograph their ID and insurance card, and everything else autofills — no clipboard, no re-typing the same information at every visit.

Scan once, reuse everywhere

A patient’s driver’s license and insurance card are read automatically and pre-fill the matching fields — they confirm instead of re-typing.

Never lose progress

Every step saves as it’s completed. Closing the tab partway through never loses what was already filled in.

Built for your form, not ours

Your office builds and publishes its own intake form — the steps, the fields, the questions — no template you’re stuck with.