Patient Intake Form — Fill Before You Arrive
Complete this now and your file will be started before you walk in. You'll still sign a consent on arrival, but the admin part is done.
Why Pre-Register
The intake form exists because the paperwork at the desk slows the consultation — the form filled online means your file exists when you arrive, the doctor has your history before the visit, and the check-in is confirmation not creation. The five minutes at home save the five minutes at the clinic.
What the form captures
- Identity and contact — who you are, how to reach you
- Medical history — conditions, surgeries, medications
- Allergies — the information that affects treatment safety
- Insurance details — for claim documentation
- Reason for visit — the chief complaint that starts the consultation
Not Required, Just Faster
The form is optional — walk in and the same information is collected at reception. The online version exists for efficiency: the traveler who wants the fastest possible visit, the appointment that starts on time because the admin is done. For urgent problems, skip the form and come in — the form can wait; the care cannot.
The Form Cost
Intake form — the free (the printable/downloadable that is provided). For the visit, the pre-completed that saves the wait.
The Visit Cost
Intake visit — the ~$40 USD consult (the form that feeds the appointment). For the efficient visit, the prepared that is faster.
What is the patient intake form?
A pre-visit registration form — your details, medical history, medications, allergies, insurance information, and reason for visit submitted before you arrive. Completing it online means the administrative part is done before you walk in; the consultation starts faster.
Is the intake form required?
No — it is optional but recommended. Walk-in patients complete the same information at reception; the online form just does it before arrival, saving ~5 minutes at check-in. For scheduled appointments, the completed intake ensures the visit starts on time.
What information does the form ask?
Contact details, emergency contact, medical history (conditions, surgeries), current medications and doses, allergies, travel insurance details, and reason for visit. The information is what the doctor needs — the form captures it efficiently.
Is my information confidential?
Yes — the intake form is transmitted securely and treated as medical information subject to confidentiality. It is shared only with the clinical team treating you, not with third parties without consent.
What if I cannot complete the form online?
Complete it at the clinic — the reception provides the same form on arrival. The online version is convenience, not requirement; the care is the same whether the form was submitted online or filled at the desk.
