Intake / Preregistration Form Automation

Our slide interface can be used to create forms which allow users to submit their information and medical history, and interfaces with their EMR for easy chart population.

Users are guided through a step-by-step process to enter in their demographic details, mention previous medical history and concerns, and consent to the clinics policies.

Submissions will be parsed, formatted, and organized within Veribook. From there, the provider can easily view and manage submissions. Additionally, by integrating with the provider's EMR, demographic information can be swiftly generated from the submitted data with just one click.

Configurable Form Fields

Providers may configure a range of form fields for users to enter in their information. These fields may include the ability to enter plain text, select options form dropdowns, or acknowledge prompts with checkboxes. All the data entered will then be parsed into a readable format for submission into a patients chart.

Data Types and Validation

Fields are configurable with different data types as well as allowing plain text entry. Options are available to validate what is entered in each field, ensuring clean data is received.