Intake Dental - Digital 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

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Patient Selects Language

One click to switch entire form

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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 for dental. Connect with labs in their native language, coordinate with specialists on mutual patients, and chat with colleagues at other offices 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

Lab Communication

Message lab techs in their native language with auto-translation

๐Ÿฉบ

Specialist Collaboration

Discuss mutual patients securely with endodontists, oral surgeons & more

๐Ÿข

Cross-Office Network

Connect with colleagues and friends at other dental offices

๐ŸŒ

20+ Language Translation

Post in any language, everyone reads in their preferred language

Get Bridge Free โ†’

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

New Revenue Stream

Virtual Consultations with Built-in Payments

Offer paid online consultations and get paid directly to your bank account via Stripe

๐Ÿฆท Emergency Consultation
$75
โฑ๏ธ15-minute video call
๐Ÿ“‹Treatment recommendations
๐Ÿ’ŠPrescription if needed
๐Ÿ’ณPay securely with Stripe
1
Patient pays online
โ†’
2
Funds to your Stripe
โ†’
3
Direct deposit to bank

Turn Consultations Into Revenue

Patients pay upfront before booking. Funds go directly to your Stripe Connect account โ€” we never touch your money. Set your own prices for different consultation types.

  • ๐Ÿ’ฐ

    Direct Stripe Payments

    Patients pay you directly โ€” funds deposited to your bank account

  • ๐ŸŽฅ

    HIPAA-Compliant Video

    Secure video consultations with screen sharing and file upload

  • ๐Ÿ“…

    Automated Scheduling

    Patients book available slots โ€” syncs with your calendar

  • ๐Ÿท๏ธ

    Custom Pricing

    Set different prices for emergency, cosmetic, second opinion & more

The Problem

Your Current System Is Failing You

Most dental practices struggle with outdated, expensive, complicated form systems

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Overpaying for Bundles

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

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Still Using Paper

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

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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“ต

No Virtual Revenue

No way to offer paid online consultations or collect payments directly from patients

๐ŸŒ

Language Barriers

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

Simple Pricing

Choose Your Plan

Cloud-based. Your own subdomain. No software to install. All plans include AES-256-GCM + glyph layer encryption.

Base Plans

Start with digital forms โ€” add features as you grow

100% Free

Bridge

HIPAA-compliant messaging for all dental professionals.

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

No credit card โ€ข No catch

Solo Practice

Digital Forms

Complete intake solution for a single practice location.

  • 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 & website embeds
  • Email confirmations in patient's language
  • US-based support
$199.99per month
Start 14-Day Free Trial โ†’

No credit card required โ€ข 1 practice location

Powerful Add-Ons

Supercharge your practice with these optional upgrades

๐ŸŽฅ

Virtual Consultations

Offer paid teledentistry appointments with built-in Stripe payments. Patients pay upfront โ€” funds go directly to your bank account.

  • โœ“ HIPAA-compliant video calls
  • โœ“ Direct Stripe Connect payments
  • โœ“ Custom pricing per consultation type
  • โœ“ Automated scheduling & reminders
  • โœ“ Screen sharing & file uploads
+$199.99/month
Add to Any Plan โ†’
๐Ÿ† Most Powerful
๐Ÿค–

Complete Front Office Automation

AI-powered PMS integration that answers any question about your practice in plain English. No training required.

  • โœ“ Direct PMS integration (Dentrix, Eaglesoft, Open Dental & more)
  • โœ“ AI answers any question: "What's John Smith's phone number?"
  • โœ“ Patient lookup by name, DOB, or any field
  • โœ“ Aging & production reports on demand
  • โœ“ Marketing ROI analytics
  • โœ“ Real-time insurance verification
  • โœ“ Automatic chart population from intake forms
  • โœ“ NEW: Auto EOB Payment Posting
+$499.99/month
Add to Any Plan โ†’

Build Your Perfect Package

Solo + Teledentistry
$399.98/month
Solo + Full Automation
$699.98/month

Need More Than 3 Locations?

We offer custom enterprise pricing for DSOs and large practice groups. Get volume discounts, dedicated support, and custom integrations.

Contact Sales โ†’
AI-Powered

Ask Your Practice Anything

AI connects to your PMS and answers questions in plain English โ€” no training required

AI That Knows Your Practice

Our Complete Front Office Automation add-on connects directly to your PMS with AI that understands plain English. Ask anything โ€” patient lookups, contact info, reports, analytics. Just type like you're texting a colleague.

  • ๐Ÿ”

    Instant Patient Lookup

    "What's John Smith's phone number?" โ€” answered in seconds

  • ๐Ÿค–

    Any Question, Any Data

    "How many patients named John?" "Who's due for a cleaning?"

  • ๐Ÿ“Š

    Reports on Demand

    Aging reports, production stats, marketing ROI โ€” just ask

  • ๐Ÿฅ

    Insurance Verification

    Real-time eligibility checks before patients arrive

๐Ÿ’ฌ
Ask Anything

"John Smith's phone number please"

โ†“
๐Ÿค–
AI Queries Your PMS

Dentrix, Eaglesoft, Open Dental & more

โ†“
โšก
Instant Answer

"(555) 123-4567 - Last visit: Dec 15"

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๐Ÿ“Š
Or Full Reports

"Show aging over 90 days" โ†’ instant report

๐Ÿš€ New Feature โ€” Save Hours Every Week

Auto EOB Payment Posting

Stop manually entering insurance payments. Upload your EOBs and checks โ€” AI extracts the data, matches to claims, and posts to your PMS automatically.

๐Ÿ“„

Auto EOB Payment Posting

AI-powered โ€ข Bulk upload supported

1
Upload Check + EOB

Snap a photo or upload scanned images. Supports multi-page EOBs and bulk ZIP uploads.

2
AI Extracts Payment Data

Check number, amounts, patient names, procedure codes, deductibles โ€” all extracted automatically.

3
Match to Patient Claims

Fuzzy name matching finds the right patients even when insurance formats names differently.

4
Review & Post to PMS

One-click posting to patient ledgers. Duplicate check protection built-in.

100+
EOBs per batch
95%
Auto-match rate
2 min
Per batch

End Manual Payment Entry Forever

Front office staff spend 2-4 hours daily manually posting insurance payments. Our AI reads your EOBs, matches to the right patients, and posts payments โ€” turning hours into minutes.

  • ๐Ÿ“ฆ

    Bulk Upload Support

    Upload individual EOBs or ZIP files with up to 100 EOBs at once. Process an entire week's mail in minutes.

  • ๐Ÿง 

    Smart Name Matching

    AI handles "SMITH, JOHN A" โ†’ "John Smith" variations. No more manual patient lookups.

  • ๐Ÿ›ก๏ธ

    Duplicate Protection

    Warns if a check number was already posted. Never double-post a payment again.

  • ๐Ÿ“‘

    Multi-Page EOBs

    Combine multiple pages into a single EOB. All line items extracted and organized.

  • ๐Ÿ’พ

    Save & Resume

    Save drafts and come back later. Export unmatched items as CSV for manual review.

Save 10+ Hours Every Week

See the difference Auto EOB Posting makes for your practice

Manual Entry
3-4
hours per day
โ†’
With Auto EOB
15
minutes per day
Get Auto EOB Posting โ†’

Included with Complete Front Office Automation add-on

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
  • No virtual revenue stream
  • Days of staff training
  • Use unsecure texting for PHI
  • Manual EOB entry for hours

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
  • Paid teledentistry with Stripe
  • 10-minute learning curve
  • Free Bridge messaging for everyone
  • Auto EOB posting in minutes

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