Patient forms ^for Clinikothat do more.
For awesome people like you! Who want to deliver outstanding patient experiences. Who appreciate great design. And a super efficient clinic. Nice work — you're in the right place!
It starts with two patient-facing apps.
One is purpose-built for the iPad — providing self check-in and form filling in-clinic, using native (fast) technology. The other is our web app — providing secure forms your patients can fill in at home, on their own devices.
In-clinic
Patient forms & check-in. Hand your patients an iPad running our native app in the comfort of your waiting room for them to complete your forms. Or, setup kiosk mode so patients check-in on arrival.
More about in-clinic →
At home
Patient forms. Send your patients a link to fill out their forms in the convenience of their own home (or on the go). Our web forms work perfectly on any mobile device (Apple, Android etc.).
More about at home →
These update Cliniko, automagically.
The patient is checked-in, their record is updated, a PDF (with signature) is generated and attached to their files, and a treatment note is even created — with minimal to no input from you.
1
Form filled
Either in-clinic, using our native iPad app, or in the patient's home, on their own Mac, PC or mobile device.
2
Patient updated
The patient is updated in Cliniko— name, date of birth, address, privacy policy, invoice details etc.
3
PDF attached
A PDF is generated — with signatures, answers and all policy text — and added to Cliniko.
Yep, your forms. But with superpowers.
Just about any of your existing forms can be converted to our format using our own purpose-built editor. Once there, they can be enhanced with visibility logic / follow-up questions based on answers to previous questions, required fields, multiple signatures (also with visibility logic) and more.
No, we'll convert your existing forms for you.
We've converted hundreds of forms for our customers so far — so we know what we're doing. Just send us your forms after signing up, and we'll convert them into our format for you — for no extra charge.
Alternatively, if you fancy yourself as a bit of a DIYer, you're free to jump in there yourself.
Pay by clinic size, or form volume.
By clinic size? No limit on form volume. By form volume? No limit on clinic size.
All plans come with access to all features, including the app, and web forms.
No hidden fees, no minimum contract, no forced upgrades, cancel any time.
Uni
$198
/ mo
Over 25 practitioners
Large
$148
/ mo
Up to 25 practitioners
Group
$98
/ mo
Up to 12 practitioners
Medium
$73
/ mo
Up to 8 practitioners
Team
$48
/ mo
Up to 5 practitioners
Solo
$23
/ mo
One practitioner
Uni
£130
/ mo
Over 25 practitioners
Large
£100
/ mo
Up to 25 practitioners
Group
£65
/ mo
Up to 12 practitioners
Medium
£45
/ mo
Up to 8 practitioners
Team
£30
/ mo
Up to 5 practitioners
Solo
£15
/ mo
One practitioner
Uni
$200
/ mo
+ GST
Over 25 practitioners
Large
$150
/ mo
+ GST
Up to 25 practitioners
Group
$100
/ mo
+ GST
Up to 12 practitioners
Medium
$75
/ mo
+ GST
Up to 8 practitioners
Team
$50
/ mo
+ GST
Up to 5 practitioners
Solo
$25
/ mo
+ GST
One practitioner
Uni
$198
/ mo
Over 25 practitioners
Large
$148
/ mo
Up to 25 practitioners
Group
$98
/ mo
Up to 12 practitioners
Medium
$73
/ mo
Up to 8 practitioners
Team
$48
/ mo
Up to 5 practitioners
Solo
$23
/ mo
One practitioner
Uni
$200
/ mo
Over 25 practitioners
Large
$150
/ mo
Up to 25 practitioners
Group
$100
/ mo
Up to 12 practitioners
Medium
$75
/ mo
Up to 8 practitioners
Team
$50
/ mo
Up to 5 practitioners
Solo
$25
/ mo
One practitioner
Uni
€175
/ mo
Over 25 practitioners
Large
€130
/ mo
Up to 25 practitioners
Group
€85
/ mo
Up to 12 practitioners
Medium
€65
/ mo
Up to 8 practitioners
Team
€40
/ mo
Up to 5 practitioners
Solo
€20
/ mo
One practitioner
Uni
$265
/ mo
Over 25 practitioners
Large
$195
/ mo
Up to 25 practitioners
Group
$130
/ mo
Up to 12 practitioners
Medium
$95
/ mo
Up to 8 practitioners
Team
$60
/ mo
Up to 5 practitioners
Solo
$30
/ mo
One practitioner
First 10
$15
/ mo
For the first 10 forms / mo
Additional 10
$5
/ mo
Additional 10 forms / mo
i.e. 30 forms is $25, 60 forms is $40, 120 forms is $70, all per month.
First 10
£9
/ mo
For the first 10 forms / mo
Additional 10
£3
/ mo
Additional 10 forms / mo
i.e. 30 forms is £15, 60 forms is £24, 120 forms is £42, all per month.
First 10
$15
/ mo
+ GST
For the first 10 forms / mo
Additional 10
$5
/ mo
+ GST
Additional 10 forms / mo
i.e. 30 forms is $25, 60 forms is $40, 120 forms is $70, all per month.
First 10
$15
/ mo
For the first 10 forms / mo
Additional 10
$5
/ mo
Additional 10 forms / mo
i.e. 30 forms is $25, 60 forms is $40, 120 forms is $70, all per month.
First 10
$15
/ mo
For the first 10 forms / mo
Additional 10
$5
/ mo
Additional 10 forms / mo
i.e. 30 forms is $25, 60 forms is $40, 120 forms is $70, all per month.
First 10
€10
/ mo
For the first 10 forms / mo
Additional 10
€4
/ mo
Additional 10 forms / mo
i.e. 30 forms is €18, 60 forms is €30, 120 forms is €54, all per month.
First 10
$15
/ mo
For the first 10 forms / mo
Additional 10
$5
/ mo
Additional 10 forms / mo
i.e. 30 forms is $25, 60 forms is $40, 120 forms is $70, all per month.
“Extremely well designed and bug free intake forms that patients have found to be highly intuitive. Works seamlessly with Cliniko. Great company with quick and actionable customer service. Highly recommend."
Muna Osteopathy
Ready to start your free trial?
Officially, the free trial is 7 days — but we're always happy to extend it if you need more time.