Health and Lifestyle Templates - New Patient Registration 3 form

The patient registration form allows you to easily collect patient information online.  Add or remove any fields as you need.  You can easily push the data into any other 3rd party system you have in place. You can also post a QR code for this form to facilitate on-site data capture. You can easily change this template according to your needs and fully customize it. We also provide a bi-directional Salesforce integration that will allow your fillers to read data from your SF account and update data as well.