Sample Forms & Questionnaires
Below are a selection of the forms that we have created and that you may choose to ask patients to complete and submit via the Patient Portal. Many of these forms are variations on the same questions or topics. For patients convenience, it is highly recommended that you select just a few intake questionnaires (up to 5 or so maximum), and be selective about additional forms and questionnaires. Having too many, or highly duplicative, forms available tends to be a source of confusion and frustration for patients.
If you are interested in including one or more of these questionnaires on your patient portal, please check the boxes next to the questionnaires you are interested in. Once you are done, specify any modifications/tweaks in the field at the bottom of this page and then hit submit.
Some of these forms will auto-populate the patient's chart (indicated below), while the remainder will save as a document attached to the patient's chart