Collect patient information faster with online forms

Gather patient information before the patient arrives for the appointment or while in your waiting room with easy, online RevenueWell Forms. Completely paperless and fully integrated with your practice management software, these forms are proven to speed up check-ins, streamline operations and reduce no-shows.

Contact us to learn more

Explore RevenueWell’s entire suite of engagement solutions:  

Discover the benefits of RevenueWell Forms

Save your office time and money while you make the process of patient intake, check-in and treatment plan consent more convenient than ever.

RevenueWell’s paperless forms are designed specifically for dental practices and provide a complete electronic solution for patient check-ins, making office life easier.
Time-saving features include:
  • Online forms that patients can complete in the privacy of their home or in the waiting room prior to their visits. Include the forms on your website for added convenience
  • Integration so that data entered by patients syncs directly to your practice management software, eliminating manual data entry
  • A custom form builder to create forms to meet your unique needs with simple drag-and-drop functionality
  • Treatment plan consent to capture patient signatures on the spot with a digital form
  • Family check-in, allowing responsible parties to complete electronic forms for all their dependents at once
  • HIPAA consent that you gather digitally, syncing directly to Eaglesoft
  • Patient forms you can prepopulate for existing patients to save time at check-in
  • iPad app so patients can complete forms electronically via a tablet in the office, eliminating paper clutter
  • ID scan to capture driver’s licenses and populate information more quickly

Questions about the RevenueWell Suite?

Looking for software support?