Forms for Primary care

Primary care intake, done before the patient is roomed.

Zentake digitizes primary care intake, from new-patient registration and medical history to auto-scored health screeners, so your front desk stops chasing clipboards. Accurate histories, verified insurance, and scored screeners are ready before the visit.

A primary care physician reviewing a patient record on a tablet
Screeners auto-scoredPHQ-2 results in the chart on submit
Coverage verifiedEligibility checked at intake
Done on any deviceFinished before the patient arrives
Less admin, more care

Give your front desk its time back.

Patients register, verify coverage, and complete history from home, so visits start on time with rooming-ready charts and clean billing.

Get started today

Faster check-in

Patients register and sign from home, so visits start on time with rooming-ready charts.

Verified coverage

Real-time insurance eligibility flags coverage gaps before the appointment, not after the claim.

Cleaner histories

Structured medical, surgical, and medication history captured once and reused at every visit.

The platform

Built for the primary care front desk.

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

Customizable forms

Start from our library of registration, history, and consent forms, or build your own for any visit type. Conditional logic keeps every form short and relevant.

Insurance eligibility

Run real-time eligibility at intake so coverage gaps surface before the visit, not after the claim. The result is attached to the patient record for your front desk.

Auto-scored screeners

Instantly score PHQ-2, AUDIT-C, and other USPSTF screeners the moment a patient submits, with results filed in the record before the provider walks in.

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.

As a primary care clinic, we use a lot of forms that were formerly on paper. We asked Zentake to make them all electronic so patients can complete them on an iPad. Everything has been great.
Tim K. & Parker J.Medical doctor
Get started

Give your front desk its time back.

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