Patient Intake Forms for Clinical Research
Collect patient details, consent, and referral information with secure, mobile-friendly intake workflows.
Patient Details
Capture demographics, contact preferences, and referral source in a single intake flow.
Consent & Communication
Collect consent to contact and route qualified patients to coordinators quickly.
Coordinator Ready
View submissions in dashboards, track status, and export data for downstream workflows.
Coordinator Workflows
Track intake submissions, statuses, and follow-ups in one place.
Mobile-First UX
Reduce drop-off with short, patient-friendly questions optimized for phones.
Audit Trails
Maintain compliance-ready records for each intake submission.
Need eligibility screening too? Explore patient screener software or prescreening workflows.
Intake Form FAQs
Do intake forms replace screening?
Intake forms collect details and consent; screening determines eligibility. Most sites use both.
Can we customize intake questions?
Yes. You can tailor fields to specific studies, programs, or referral sources.
How are submissions tracked?
Submissions land in coordinator dashboards with status tracking and follow-up notes.
Can I integrate with REDCap?
Yes. Screener Studio supports REDCap integrations for downstream workflows.
Launch intake workflows in minutes
Build patient intake forms and connect them to your screening and recruitment workflows.