Forms for Ophthalmology

Optometry and ophthalmology intake, ready before the work-up.

Zentake digitizes eye-care intake, from ocular and medical history to insurance and consent. Patients complete everything on their phone before the appointment, so techs and physicians start with a complete record.

An eye-care provider in an exam room with a vision chart
Symptoms capturedChief complaint before the work-up
Coverage verifiedVision and medical, at intake
Ocular history completeIn the chart before the work-up
Less admin, more care

Start the work-up with the full chart.

Ocular history, symptoms, and verified coverage are captured before the visit, so techs move straight to testing.

Get started today

Complete ocular history

Vision complaints, ocular history, and medications captured before work-up begins.

Verified coverage

Real-time eligibility confirms vision and medical coverage before the visit.

Faster work-up

Patients arrive checked in, so techs move straight to testing.

The platform

A platform built for eye care intake.

Everything you need to modernize patient onboarding while maintaining strict HIPAA compliance.

Customizable forms

Build ocular history, symptom, and consent packets from our library or create your own. Conditional logic keeps each form short and relevant to the visit.

Insurance eligibility

Confirm vision and medical coverage in real time at intake, before the appointment. The result is attached to the patient record for your front desk.

Symptom questionnaires

Capture chief complaint and vision symptoms so physicians start informed. Answers arrive as structured data in the record, not as a page to re-key.

Mobile friendly

Patients complete forms on any device before their appointment, saving time in your waiting room. No app to download and no portal account to create.

HIPAA compliant

Safeguard sensitive patient information with a BAA and advanced security, ensuring HIPAA compliance. Encrypted in transit and at rest, with full audit logging.

All-star support

Our experienced and friendly team is here to provide expert support whenever you need it. Setup takes under an hour, with a real human walking you through it.

Zentake is great, very customizable and easy to use. The customer service is really great too.
Verified Zentake reviewEye care
Get started

Start the work-up with the full chart.

Start your free trial, or book a walkthrough with our team. Setup takes under an hour, with a real human, not a chatbot.