Streamline Your Practice With Digital Patient Intake Forms

Save Time, Money, and Frustration with Our Secure Online Patient Intake Forms

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Check out our forms ROI Calculator

Trusted Practice Partners

We only partner with the best medical practices and doctors
About Patient10x Forms

What is Patient10x Forms?

Patient10x Forms, brought to you by Patient10x, is the ultimate digital form builder and patient intake software designed to enhance the patient experience and streamline clinic operations.
👋🏼 Say goodbye to the complexities of traditional patient intake methods and embrace a seamless,
secure, and user-friendly solution.

Reduce paperwork, increase profitability, and simplify clinic operations

Our Digital Form builder and secure inbox is the best way to streamline your patient intake process and improve your clinic operations.
Our digital form builder makes it easy to build custom forms, and our patient intake software ensures that your patients have a positive experience from start to finish.
Key Features

Elevate Your Clinic with Our Advanced Features

Results speak for themselves, don’t take our word for it.

Create Customizable Forms

Easily tailor online intake forms to your specific needs and edit them fast anytime.

Seamless Communication

Send form requests to patients via email or SMS, ensuring a streamlined process.

Accessibile Anywhere

Patients can conveniently complete forms on mobile devices or any other digital device.

Data Security

Rest easy with secure, encrypted data storage for your clinic with full HIPAA-Compliance.

Error-Free Data Transfer

Experience hassle-free EHR data transfer, reducing the risk of errors and typos.

Real-time Notifications

Stay in the loop with instant notifications of form submissions.

Doctor approved

What our clients say about us

it’s not about us, it’s about you. Here’s the proof.
Patient10x directly impacted my private practice growth and success
I have had the pleasure of utilizing Patient10x's skill and expertise since September of 2021. Anthony's attention to detail, promptness and overall pride in his work are immediately palpable. Patient10x was a critical component in the growth of my practice over the past 18 months. With the guidance and knowledge base, I have been able to grow my patient volume dramatically. I highly recommend Patient10x Digital Marketing services!
Dr. Shayan Essapoor
Foot & Ankle Surgeon
Patient10x helped me launch and grow my practice
Patient10x has built an excellent user friendly website for my new primary care practice. They also help me with digital marketing, SEO and other patient acquisition channels. Anthony and Patient10x has played a crucial role in growing my practice over the past 8 months. He is very knowledgeable and offers the right guidance needed for a new practice to succeed.
Dr. Shreya Khatri
Primary Care Physician
Patient10x directly impacted my growth and success.
Patient10x has helped me launch my practice from the ground up when I moved my Podiatry practice from Marin to Walnut Creek. Their digital marketing efforts have directly impacted my growth and success. I would highly recommend their services!
Dr. Eman Elmi
Foot & Ankle Surgeon
Excellent experience managing our website
Anthony at Patient10x has been great to work with!  He is attentive, responds immediately and no task is too large or small.  We have had an excellent experience with this website management company and I would highly recommend Patient10x.
client testimonial
Lisa McGuinness
Practice Administrator
Big ROI working with Patient10x on our Digital Marketing efforts
Thrilled with the growth and ROI we've experienced working with Patient10x to really drive our digital marketing strategy from the website, SEO, content, online reputation, and patient acquisition. 10/10 stars!
Dr. Rajiv Nagesetty
Vascular Surgeon
Patient10x increased our organic search traffic by 2757%!
Anthony at Patient10x has really elevated our online presence! He's increased monthly traffic to our website to over 50k monthly visits, all done organically. He has increased our keyword ranking which in return has ranked us #1 on Google with hundreds of keywords ranked in the top 1-3 spots on Google search. From a professional standpoint, Anthony has always responded to questions lightening quick and is so pleasant to work with. You won't be disappointed, great results all the way around!
Stacie Johnson
Medical Practice Marketing Manager
Patient10x marketing services has proven to be a great decision!
My partnership with Patient10x has not only allowed me to better serve my community but has also contributed to the growth of my practice. I wholeheartedly recommend their services to any healthcare practice seeking to enhance their reputation, improve patient satisfaction, and expand their reach. The team at Patient10x is highly knowledgeable, responsive, and genuinely committed to the success of my practice. I am truly grateful for this partnership.
Dr. Ali Hamraz
The reputation management service they provides is indispensable and I recommend highly
A few months ago I received an extremely negative, potentially slanderous online review from the relative of a “patient” I cannot verify I actually treated. It was particularly distressing because of how hard I had worked to preserve my reputation, through exemplary care and service to my patients. The reality of the modern age is that internet reviews often sway opinion as to whether or not to see a provider. After contacting Anthony, my online rating improved immensely, seemingly overnight. New patients often let me know that the positive reviews influenced their decision to see me. Anthony is very responsive and easy to work with. He literally handles everything behind the scenes. The reputation management service he provides is indispensable and I recommend him highly.
Dr. Kenneth Hsiao
Urologist & Surgeon
Why Choose Patient10x Forms?

Streamline Your Clinic, Elevate Patient Care

Patient10x Forms is the top choice for clinics and healthcare organizations. We offer user-friendly customization, secure data management, and a commitment to improving patient experience and clinic efficiency.
  • 01

    Elevate the patient experience and clinic operations.

  • 02

    Streamline patient intake with ease.

  • 03

    Save time and money while improving clinic efficiency.

  • 04

    Ensure patient data security with HIPAA compliance.

Ready to Transform Your Clinic

Take the first step toward a more efficient, patient-focused clinic. Sign up for a free demo of Patient10x Forms now to see how our digital solution can revolutionize your patient intake process and clinic operations.
Join Beta Now
secure encryption

HIPAA Compliance and Data Security: Your Patients Security Matters

At Patient10x Forms, we understand that security is paramount in healthcare. That's why we prioritize your clinic's and patient's security through rigorous HIPAA compliant encrypted infrastructure and an expert team dedicated to safeguarding your patients' data.
Our unwavering commitment ensures that your clinic's operations remain secure and compliant while delivering the highest level of care to your patients. With Patient10x Forms, your data security is our top priority.
Healthcare Marketing Newsletter

Get Exclusive Healthcare Marketing Insights Delivered Straight to Your Inbox!

Get exclusive access to our monthly healthcare marketing newsletter to stay up to date on the latest healthcare marketing trends. Sign up now and never miss out on valuable insights and opportunities!
Fill in your details
By submitting this form, I confirm that I have read and understood Patient10x’s privacy policy.
Thank you! You have been subscribed!
Oops! Something went wrong while submitting the form.