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Patient Forms

Collect patient info, asynchronously.

Save time during the consult by capturing patient info, consent, and eligibility before or after the visit, auto-mapped to state-specific PDF forms.

MedMe digital patient intake form interface
DIGITAL INTAKE

Digital intake made easy.

Replace manual paper forms with digital intake that streamlines data capture. Patients complete forms online, so your team gets what it needs before the consult starts.

Mobile-first forms

Forms open on any phone, no app install required. SMS-delivered link, completion in under 60 seconds.

Service-specific templates

Pre-built intake templates for each service your pharmacy offers, configured to your protocols and state requirements.

Pre-fill for returning patients

Returning patients see fields auto-filled from prior submissions. No repetitive data entry, faster check-in.

ELIGIBILITY SCREENING

Keep your focus on eligible patients.

Eligibility screening filters at the form level. Only patients who meet the criteria can complete the intake, so your team avoids unnecessary visits.

State Scope

State scope of practice

Form rules respect your state's pharmacist scope. Services patients aren't eligible for never show up as bookable.

Coverage Checks

Coverage and condition checks

Insurance type, age, and qualifying conditions verified in the form itself. The patient only sees services they qualify for.

Routing

Ineligible patients routed

Patients outside the eligibility window are routed to the right next step: cash-pay flow, provider referral, or a different program.

PROVINCE-SPECIFIC PDFS

One intake. The right PDF for every province.

Provincial scope-of-practice rules dictate the form. MedMe ships with province-specific PDF templates pharmacy programs actually require, and auto-maps every submission to the right one. Standardized output, audit-ready documentation, no manual transcription, no copy-paste between systems.

OntarioBritish ColumbiaAlbertaQuebecNova ScotiaNew BrunswickSaskatchewanManitobaNewfoundland & LabradorPEI

Plus territories where MedMe customers operate. New templates ship as provincial regulators update their protocols.

PATIENT RECORDS

Forms become patient records.

Every submitted form automatically creates a new patient record or updates an existing one. No re-keying, no separate import step. The chart stays current and the next visit picks up where this one left off.

Auto-create and auto-update

First-time submissions create a new record. Returning submissions update the existing one. No manual record management, no duplicates.

Centralized across the network

Records sit in one place, accessible from any store. Multi-store operators see the same patient regardless of where the visit happens.

Pre-fill saves time on every visit

Pre-fill flows shorten every subsequent intake. Each visit takes less time than the last; nothing the patient already gave you gets asked twice.

AUDIT-READY, EVERY PROVINCE

The province-specific PDF, every time.

Whatever province your pharmacy operates in, MedMe auto-maps each completed intake to the exact PDF your regulator, payer, or program expects. Audit-ready on day one, refreshed when the spec changes.

WALK INTO EVERY VISIT READY

Start the encounter with the chart already filled in.

A 20-minute walkthrough showing intake from SMS link to a populated chart on your state's PDF form. Bring your service mix; we'll configure a real-world intake live.

Book a demo →