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Intake forms

It asks. They answer. You already know.

Describe the form you need in a sentence and Qlynic writes it — every question with the right control, from a pain scale to a follow-up box that only appears when the answer is yes. The patient fills it on their own phone before they arrive, and the answers are on the chart when the visit starts.

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  • Written for you, edited by you
  • Filled before the visit
  • One credit per form
Bow Valley Family Clinic New patient intake 0 of 6 answered
  1. About your visit
  2. What brings you in today?*
  3. Do you have any known drug allergies?* No Yes Please describe
  4. Rate your pain today* 12345678910 1 — none10 — worst
  5. Your health
  6. Do any of these apply to you?* High blood pressureDiabetesAsthmaNone of these
  7. How long has this been going on?* Choose one
  8. Best number to reach you*
  9. Submit Required questions are marked *

A patient filling it · simulation

When it appears

The right form, or none at all.

A questionnaire that appears for everybody is a questionnaire nobody reads properly. Every form carries its own rule — a doctor, a trigger, a set of words to watch for — and a booking only collects the ones that fit it.

A booking comes in
DoctorDr A. Chen VisitFirst visit Reason givenknee pain going up stairs
  1. A

    New patient general health

    Clinic-wide Always Queued
  2. B

    First visit history

    Dr A. Chen First visit only Queued
  3. C

    Pain & injury detail

    Clinic-wide Reason: pain, injury, hurt Queued
3 forms queued for this booking
  • 01

    Required means required.

    A form marked required cannot be closed or skipped past, and the booking isn’t finished without it. Optional forms keep a skip button, because a form nobody can escape is a booking nobody completes.

  • 02

    A failed save keeps the form open.

    If the answers don’t reach the server — a dropped connection, a missed required question — the form stays on screen and says so. It is never quietly skipped, because a required form that vanishes on a bad signal is worse than no form at all.

  • 03

    Everyone in the group gets their own.

    A family booking four people collects four separate queues, one per person, each answered and stored against that individual — and each can be filled before the appointment record exists at all.

What is kept

It arrives complete, or it doesn’t arrive.

A half-saved consent form is worse than no consent form, because it looks like one. Four things have to be true before a submission exists at all — and if any of them isn’t, nothing is written.

  1. 1 Belongs to this clinic the form is verified before a single answer is read
  2. 2 Every required answer present re-checked on the server, not only in the browser
  3. 3 Written all at once the submission and its answers, or neither
  4. 4 Attached to the booking even when the booking does not exist yet
Submission writing
  1. FormNew patient general health
  2. PatientM. Delgado
  3. Answers6 of 6
  4. Submitted12 Nov · 20:14
  5. Bookingattached
Nothing was written A required answer was missing, so the whole submission was refused. There is no partial record to find later.
A complete submission

The browser checks too — but the browser is not the one that decides. Every required answer is verified again on the server before anything is stored, because a consent form that can be satisfied by an empty payload is not a consent form. It is a liability with a tick next to it.

The whole point

Nothing to hand out. Nothing to type up.

No clipboard at the desk, no one re-typing a page of ticks into the chart, and no first four minutes of the appointment spent asking what was already asked at booking. The work moved into a gap that was doing nothing anyway.

the work happens here Booked the reason is typed Filled at home, unhurried Seen already read
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  • Written for you, edited by you
  • The right form, or none
  • Complete, or not kept