Intake forms
that make
everyone
smile :)

Safe     Secure     Timely


  • Eliminate transcription errors
  • Protect patient privacy
  • Treat more patients

Traditional intake form page 1
Traditional intake form page 2
Traditional intake form page 1 copy
Traditional intake form page 2 copy

The Problem

Traditional intake forms put your practice at risk.

  • Poor privacy

    Website intake forms do not meet Canadian privacy regulations—sending confidential patient information through third-party, untrusted mail servers is not secure.

  • Safety risk

    Manual transcription introduces errors that can lead to treatment mistakes, medication issues, and potential liability.

  • Revenue constraints

    Paper forms waste 5+ minutes per patient visit, preventing your clinic from serving more patients who need care.

  • Poor experience

    Patients do not like filling out lengthy paper forms.

  • Accessibility barriers

    Traditional forms fail to accommodate patients with vision, hearing, or mobility impairments.

The Solution   :)

Smile Forms help Canadian dental clinics eliminate risks, improve care, and safely treat more patients.

  • Keep patient records safe

    Eliminate transcription errors completely. Patient information transfers directly from their device to your inbox in digital format—ready for simple copy-and-paste with zero chance of errors.

  • Secure against privacy breaches

    Unlike 99.9% of digital intake solutions, Smile Forms uses direct encrypted transmission designed for Canadian privacy requirements with no third-party servers storing sensitive patient information.

  • Optimize patient flow

    Forms completed before the appointment eliminate in-office paperwork delays. Your patients arrive ready for treatment, not paperwork, saving 5 minutes per visit (2.5 hours per day for a typical practice).

  • Accessible to everyone

    Smile Forms are accessible to everyone—including the vision- and hearing-impaired.

  • Excellent ROI

    With potential for up to 60 additional patient visits per month and average billing of $378.60 per patient, Smile Forms can help generate $22,716 in additional monthly revenue—a 95x return on investment.

  • Simple to implement

    It’s easy to start using Smile Forms in your clinic. There is no setup, and you don’t need to change anything on your website. Sign-up takes just minutes.

Smile Forms Screenshot: Smile Forms are beautifully-designed and easy-to-use on any device, including phones and tablets.
Smile Forms are beautifully-designed and easy-to-use on any device, including phones and tablets.
Smile Forms Screenshot: Smile Forms include all the questions to make patient visits safe for patients and efficient for staff.
Smile Forms include all the questions to make patient visits safe for patients and efficient for staff.
Smile Forms Screenshot: Smile Forms include legal disclosures as required by provincial dental colleges.
Smile Forms include legal disclosures as required by provincial dental colleges.
Smile Forms Screenshot: HIPPA compliant: Smile Forms are the most secure and confidential solution. Patient details are sent directly to your office—without ever passing through third-party servers.
HIPPA compliant: Smile Forms are the most secure and confidential solution. Patient details are sent directly to your office—without ever passing through third-party servers.
Smile Forms Screenshot: Smile Forms display the right amount of details in an easy-to-understand interface.
Smile Forms display the right amount of details in an easy-to-understand interface.
Smile Forms Screenshot: Smile forms help your clinic treat more patients safely and with the utmost confidentiality.
Smile forms help your clinic treat more patients safely and with the utmost confidentiality.
Smile Forms Screenshot: Because of Smile Forms’ thoughtful design, completing one takes just a couple minutes.
Because of Smile Forms’ thoughtful design, completing one takes just a couple minutes.
The Bottom Line: Measurable Results

Average clinic treats30 patients / day
Average billing is$378.60 / patient
Time saved with Smile Forms5 minutes / visit
( 2.5 hours / day )
Additional monthly capacityUp to 60 patient visits
Potential monthly revenue$22,716
Monthly investmentLess than $240

Upwards of 95x return-on-investment.

The Benefits

Patients smile because
  • No more clipboard tedium
  • Better privacy through security
  • Less time on paperwork
  • More time receiving care
  • Accessibility for all

Staff smile because
  • Patient information arrives early
  • No more transcription, no more errors
  • Medical details are easy to read
  • More time for patient interaction
  • Reduced stress from schedule delays

Dentists smile because
  • Privacy compliance is 100%
  • Clinic capacity increases
  • Patient satisfaction improves
  • Efficiency grows revenue

Ready to Start?

Try Smile Forms free for 30 days with no credit card required. Setup takes just minutes. Benefits begin with your very next patient.

Try for free