ORALZY
Feature

Intake form me patient kya kya bharta hai?

Link kholte hi clinic ke naam ke neeche "Pre-visit medical history form" aata hai, 4 hisse: Personal (Full name*, Mobile*, Age*, Gender*, Email, Address, Emergency contact), Medical history (drug / food allergies, current medications, medical conditions, past surgeries, "Are you pregnant?"), Dental history (last dental visit, main concern, common issues, habits) aur Consent (do zaroori tick + emergency tick + naam likh kar signature*). Neeche "Submit form".

Where in ORALZY: Setup → Settings → Clinic → Patient Intake Forms · Patient ka phone: intake form link (bina login)

* wale khane bhare bina form aage nahi jaata; Mobile 10 ank ka aur 6–9 se shuru hona chahiye. Medical conditions (Diabetes, Hypertension, Heart disease…), common issues (Tooth pain, Bleeding gums…) aur habits (Smoking, Tobacco chewing, Pan masala…) tap karne wale chips hain. Sawal English me hain aur sab clinics ke liye fixed hain. Patient ko login nahi karna padta. Privacy ke liye form hamesha khaali khulta hai — purane patient ka naam bhi pehle se nahi bhara hota. Bhejne ke baad "Submitted!" aur "Thanks — <clinic> ne aapki details receive kar li hain" dikhta hai; clinic ka phone ho to "Need help? Call …".

Quick steps

  1. Setup → Settings → Clinic → Patient Intake Forms se link banao
  2. Patient link kholkar chaaron hisse bhare
  3. * wale khane aur do consent tick zaroori hain
  4. Patient "Submit form" dabaye

intakeformmedicalallergiesconsentsignaturefieldsprevisit