Digitized Fillable Forms

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. For clients that sign up for a custom website, this service is included with your initial registration fee, with the exception of forms with heavy graphics (see below).  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.

All patient registration forms must either be submitted electronically such as a Word document or PDF, or they must be submitted via mail.  Mail submissions must be original forms and they must be unfolded.  We cannot convert forms that are copies of original forms since we need to scan the forms and copies of forms are usually not good quality for us to start with.

              

Please note that we cannot convert all forms.  Forms that have heavy graphics can be converted to a fillable form such as the form on the left but there is an extra charge of $300 for a form with heavy graphics due to the additional time required.  This fee applies to new clients and is in addition to the initial registration fee.  We can place forms with heavy graphics online as a direct download at no additional cost but the forms 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 at no additional cost as a direct download but it will need to be completed with a pen instead of a keyboard and mouse.