Intake Dental | Digital Patient Forms & Practice Automation
Beyond HIPAA: AES-256-GCM + Glyph Layer Encryption

Simple Digital Forms.
Complete Practice Automation.

The only dental forms system that works in 60 seconds, supports 20 languages, and integrates directly with your PMS for full practice automation.

๐Ÿ”
Security
Beyond HIPAA
๐ŸŒ
Languages
20+ Languages
โšก
Setup Time
60 Seconds
๐Ÿ”—
Integration
PMS Connected
Exclusive Technology

Triple-Protected Patient Data

Your patient data is protected by AES-256-GCM encryption PLUS our proprietary glyph layer โ€” a first in dental software

Patient Enters
Name: Jane Smith
SSN: 123-45-6789
DOB: 01/15/1980
โ†’
We Store (Encrypted + Glyph)
แšฆแ›แ›‹แšฑแ›–แšจแ›šแ›šแšคแ›‹แ›–แšฒแšขแšฑแ›–eyJlbmNyeXB0ZWQiOnRydWUsImFsZ29yaXRobSI6ImFlcy0yNTYtZ2NtIiwiaXYiOiIzTWlSZy9zOTFtOU1BeU9j...

โœ… AES-256-GCM Encryption โ€ข โœ… Glyph Layer Obfuscation โ€ข โœ… Zero PHI Visible

๐Ÿ”

Layer 1: AES-256

Military-grade encryption at rest

๐Ÿ›ก๏ธ

Layer 2: GCM Mode

Authenticated encryption in transit

แšฆ

Layer 3: Glyph Layer

Proprietary character obfuscation

Global Accessibility

Speak Your Patient's Language

Dynamic translation of all forms into 20+ languages โ€” patients fill out in their native language

๐ŸŒ

Patient Selects Language

One click to switch entire form

โ†’
๐Ÿ“

Fills Form Natively

Complete form in their language

โ†’
๐Ÿ“ง

Gets Native Email

Confirmation in same language

๐Ÿ‡บ๐Ÿ‡ธ English
๐Ÿ‡ช๐Ÿ‡ธ Espaรฑol
๐Ÿ‡จ๐Ÿ‡ณ ไธญๆ–‡
๐Ÿ‡ป๐Ÿ‡ณ Tiแบฟng Viแป‡t
๐Ÿ‡ฐ๐Ÿ‡ท ํ•œ๊ตญ์–ด
๐Ÿ‡ต๐Ÿ‡ญ Tagalog
๐Ÿ‡ท๐Ÿ‡บ ะ ัƒััะบะธะน
๐Ÿ‡ธ๐Ÿ‡ฆ ุงู„ุนุฑุจูŠุฉ
๐Ÿ‡ซ๐Ÿ‡ท Franรงais
๐Ÿ‡ฉ๐Ÿ‡ช Deutsch
๐Ÿ‡ง๐Ÿ‡ท Portuguรชs
๐Ÿ‡ฏ๐Ÿ‡ต ๆ—ฅๆœฌ่ชž
๐Ÿ‡ฎ๐Ÿ‡ณ เคนเคฟเคจเฅเคฆเฅ€
๐Ÿ‡ต๐Ÿ‡ฑ Polski
๐Ÿ‡น๐Ÿ‡ท Tรผrkรงe
๐Ÿ‡ฎ๐Ÿ‡น Italiano
๐Ÿ‡ณ๐Ÿ‡ฑ Nederlands
๐Ÿ‡น๐Ÿ‡ญ เน„เธ—เธข
๐Ÿ‡ฌ๐Ÿ‡ท ฮ•ฮปฮปฮทฮฝฮนฮบฮฌ
๐Ÿ‡ฎ๐Ÿ‡ฑ ืขื‘ืจื™ืช

โœ“ RTL Support for Arabic & Hebrew โ€ข โœ“ Dynamic Translation โ€ข โœ“ Native Email Confirmations

Free For All Dental Professionals

Introducing Bridge

The first HIPAA-compliant messaging platform built exclusively for dental professionals. Securely message your team, discuss cases in forums, and collaborate with specialists worldwide โ€” completely free, forever.

๐Ÿ”’ Dr. Smith (Endodontist)
Dr. Smith โ€ข 10:32 AM
Received the X-ray for patient #4521. I see the periapical lesion on #19.
You โ€ข 10:34 AM
Yes, patient experiencing intermittent pain. Can you fit them in this week?
Dr. Smith โ€ข 10:35 AM
Thursday 2pm works. I'll send the referral confirmation now. ๐Ÿ“‹
๐Ÿ” End-to-End Encrypted โ€ข HIPAA Compliant
๐ŸŒ‰ Bridge Forum
Dr. Martinez (Miami) โ€ข 9:15 AM
Has anyone used the new Straumann BLX in the posterior mandible?
Dr. Kim (Seoul) โ€ข 9:18 AM
Yes! Great primary stability. Sharing my case photos now... ๐Ÿ“ธ
You โ€ข 9:20 AM
Excellent results! What torque value did you achieve?
๐ŸŒ Connect with Dentists Worldwide
๐Ÿ’ฌ

Team Messaging

Secure communication within your office and across locations

๐ŸŒ

20+ Language Translation

Post in any language, everyone reads in their preferred language

๐Ÿฆท

Professional Forum

Discuss cases and learn from dental professionals globally

๐Ÿ”—

Specialist Network

Connect directly with endodontists, orthodontists, oral surgeons

Get Bridge Free โ†’

No credit card required โ€ข No strings attached โ€ข Free forever

The Problem

Your Current System Is Failing You

Most dental practices struggle with outdated, expensive, complicated form systems

๐Ÿ’ธ

Overpaying for Bundles

Forced to buy phone systems, scheduling, and 10 other tools just to get digital forms

๐Ÿ“„

Still Using Paper

Patients filling forms in waiting rooms, staff wasting hours on data entry

๐Ÿ”’

Security Concerns

Patient data vulnerable to breaches and HIPAA violations

โฐ

Weeks to Setup

Implementation consultants, IT teams, months of disruption to your practice

๐Ÿ”Œ

No PMS Integration

Manual data entry from forms to your practice management system every single time

๐ŸŒ

Language Barriers

English-only forms alienate non-native speakers and cause errors

The Solution

Choose Your Plan

All plans include AES-256-GCM + glyph layer encryption at no extra cost

๐ŸŒ‰ 100% Free

Bridge

Team messaging & professional forum. Forever free.

  • End-to-end encryption
  • Glyph layer protection
  • Intra-office messaging
  • Cross-office communication
  • Professional forum access
  • 20+ language translation
  • Specialist network
  • HIPAA compliant
FREEforever for everyone
Get Bridge โ†’

No credit card โ€ข No catch

Most Popular

Digital Forms

Complete patient intake solution with your own portal.

  • Your own yourpractice.intake.dental portal
  • 60-second setup
  • AES-256-GCM + glyph encryption
  • 20+ language translations
  • All intake & consent forms
  • Doctor e-signatures
  • Auto PDF generation
  • QR codes & embeds
  • US-based support
$199.99per month
Start 14-Day Free Trial โ†’

No credit card required

๐Ÿ† Complete Automation

Practice Automation

Full PMS integration for complete workflow automation.

  • Everything in Digital Forms
  • Direct PMS Integration
  • Insurance Verification
  • Auto Claim Submission
  • Patient Ledger Sync
  • New Patient Auto-Creation
  • Chart Auto-Population
  • Health History Sync
  • Priority Support
$599.99per month
Get Full Automation โ†’

14-day free trial โ€ข Cancel anytime

Practice Automation

Direct PMS Integration

Forms flow directly into your practice management system โ€” no manual entry required

Automate Your Entire Workflow

Our Practice Automation tier connects directly to your PMS, eliminating double-entry and streamlining every patient touchpoint from intake to insurance claim submission.

  • ๐Ÿฅ

    Insurance Verification

    Real-time eligibility checks before patients arrive

  • ๐Ÿ“‹

    Automatic Claim Submission

    Claims filed and posted to patient ledger automatically

  • ๐Ÿ‘ค

    New Patient Creation

    Patient records created in your PMS from form data

  • ๐Ÿ“

    Chart Auto-Population

    Health history, consents, and updates sync to patient chart

๐Ÿ“ฑ
Patient Completes Forms

Health history, insurance, consents

โ†“
๐Ÿ”„
Instant PMS Sync

Data flows to Dentrix, Eaglesoft, Open Dental

โ†“
โœ…
Insurance Verified

Eligibility confirmed before appointment

โ†“
๐Ÿ’ฐ
Claims Auto-Filed

Posted to ledger with zero manual entry

Why Switch

See The Difference

Stop overpaying for complexity you don't need

โŒ What Others Force You To Do

  • Sign 2-3 year contracts
  • Replace your phone system
  • Pay $300-$800/month
  • Wait weeks for setup
  • English-only forms
  • Manual data entry to PMS
  • Days of staff training
  • Use unsecure texting for PHI
  • Basic encryption only

โœ… The Intake Dental Way

  • Month-to-month, cancel anytime
  • Keep all current systems
  • From just $199.99/month
  • Live in 60 seconds
  • 20+ languages built-in
  • Auto-sync to your PMS
  • 10-minute learning curve
  • Free Bridge messaging for everyone
  • AES-256-GCM + glyph encryption

Ready to Modernize Your Practice?

Join 500+ practices already saving time, money, and protecting patient data better than ever.

โœ… No credit card required โ€ข โœ… 60-second setup โ€ข โœ… Cancel anytime