Your Patient Registration forms can be converted to Adobe Acrobat Reader® documents for your patients to download. This enables them to fill out the forms at their leisure. it enables your staff to read the forms since they are typed, and it drives your new patient to the website.

       

We will convert your forms to "fillable" Adobe Acrobat Reader PDF's, meaning a user can fill in the form using a computer keyboard. This service is included with your initial registraion fee.  If you need to edit your forms, there is a $35 per page fee for changes to existing pages.  If you change your forms, the cost of this service is $300, which includes up to four pages plus $50 for each additional page thereafter.  Click the link to see a good example of a fillable form.

              

Please note that we cannot convert all forms.  Forms that have heavy graphics cannot be converted to a fillable form such as the form on the left.  We can place this type of form online as a direct download but it will need to be completed with a pen instead of a keyboard and mouse.

Forms that have a background color similar to the font color are also sometimes difficult to convert such as the form on the right.  We can also place this type of form online as a direct download but it will need to be completed with a pen instead of a keyboard and mouse.