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Electronic Signatures
Make it easy for patients to securely sign forms.
HIPAA Compliant
Patients sign and submit forms securely to your Zentake account.
Form Builder
Create Secure, HIPAA compliant forms, with an easy to use form builder
Packets
Combine multiple forms into a packet, For easy sending and completion.
Photo Upload
Allow patients to take pictures of Insurance card, ID cards and more.
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Templates
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New Patient Registration
Template
Effortlessly gather and organize crucial patient information, streamlining the registration process and ensuring accurate records.
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Rated 4.9/5 on Capterra
Simplify your intake
Our Patient Demographics Form is designed to help you efficiently capture essential patient details, from contact information to insurance, streamlining your administrative processes.