Get 3 Months Free
The only dental forms system with 20+ languages, triple-layer encryption, PMS integration, and teledentistry with payments — all live in 60 seconds.
Solo Practice tier only • Credit card required but not charged for 3 months
Stop Wasting Staff Time on Paper Forms
California practices are saving 10+ hours per week with digital intake
Live in 60 Seconds
We auto-provision your secure subdomain at signup. No setup, no IT required.
Save $100-$600/Month
Only $199.99/mo vs $300-$800 competitors charge. No contracts, cancel anytime.
Triple-Layer Encryption
AES-256-GCM + our proprietary glyph layer — beyond standard HIPAA compliance.
Triple-Protected Patient Data
Your patient data is protected by AES-256-GCM encryption PLUS our proprietary glyph layer — a first in dental software
SSN: 123-45-6789
DOB: 01/15/1980
✅ AES-256-GCM Encryption • ✅ Glyph Layer Obfuscation • ✅ Zero PHI Visible
Layer 1: AES-256
Military-grade encryption at rest
Layer 2: GCM Mode
Authenticated encryption in transit
Layer 3: Glyph Layer
Proprietary character obfuscation
Speak Your Patient's Language
Dynamic translation of all forms into 20+ languages — patients fill out in their native language
Patient Selects Language
One click to switch entire form
Fills Form Natively
Complete form in their language
Gets Native Email
Confirmation in same language
✓ RTL Support for Arabic & Hebrew • ✓ Dynamic Translation • ✓ Native Email Confirmations
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 — completely free, forever.
Lab Communication
Message lab techs in their native language with auto-translation
Specialist Collaboration
Discuss mutual patients securely with endodontists, oral surgeons & more
Cross-Office Network
Connect with colleagues and friends at other dental offices
20+ Language Translation
Post in any language, everyone reads in their preferred language
No credit card required • No strings attached • Free forever
Virtual Consultations with Built-in Payments
Offer paid online consultations and get paid directly to your bank account via Stripe
Turn Consultations Into Revenue
Patients pay upfront before booking. Funds go directly to your Stripe Connect account — we never touch your money. Set your own prices for different consultation types.
Direct Stripe Payments
Patients pay you directly — funds deposited to your bank account
HIPAA-Compliant Video
Secure video consultations with screen sharing and file upload
Automated Scheduling
Patients book available slots — syncs with your calendar
Custom Pricing
Set different prices for emergency, cosmetic, second opinion & more
Ask Your Practice Anything
AI connects to your PMS and answers questions in plain English — 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 — patient lookups, contact info, reports, analytics. Just type like you're texting a colleague.
Instant Patient Lookup
"What's John Smith's phone number?" — answered in seconds
Any Question, Any Data
"How many patients named John?" "Who's due for a cleaning?"
Reports on Demand
Aging reports, production stats, marketing ROI — just ask
Insurance Verification
Real-time eligibility checks before patients arrive
Ask Anything
"John Smith's phone number please"
AI Queries Your PMS
Dentrix, Eaglesoft, Open Dental & more
Instant Answer
"(555) 123-4567 - Last visit: Dec 15"
Or Full Reports
"Show aging over 90 days" → instant report
Auto EOB Payment Posting
Stop manually entering insurance payments. Upload your EOBs and checks — AI extracts the data, matches to claims, and posts to your PMS automatically.
Auto EOB Payment Posting
AI-powered • Bulk upload supported
Upload Check + EOB
Snap a photo or upload scanned images. Supports multi-page EOBs and bulk ZIP uploads.
AI Extracts Payment Data
Check number, amounts, patient names, procedure codes, deductibles — all extracted automatically.
Match to Patient Claims
Fuzzy name matching finds the right patients even when insurance formats names differently.
Review & Post to PMS
One-click posting to patient ledgers. Duplicate check protection built-in.
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 — turning hours into minutes.
Bulk Upload Support
Upload individual EOBs or ZIP files with up to 100 EOBs at once.
Smart Name Matching
AI handles "SMITH, JOHN A" → "John Smith" variations automatically.
Duplicate Protection
Warns if a check number was already posted. Never double-post.
Multi-Page EOBs
Combine multiple pages into a single EOB. All line items extracted.
Save 10+ Hours Every Week
See the difference Auto EOB Posting makes for your practice
Everything You Need, Nothing You Don't
Complete Patient Intake Forms
Medical history, insurance uploads, emergency contacts, HIPAA consent
Auto Doctor E-Signatures
Consent forms automatically signed and emailed as PDFs to office & patient
Secure AWS S3 Storage
Bank-level encryption at rest and in transit with automatic backups
Analytics Dashboard
Track submissions, completion rates, and patient engagement
Mobile Responsive
Patients fill forms on any device - phone, tablet, or desktop
Works With Every PMS
Dentrix, Eaglesoft, Open Dental, Curve, and all others - no integration needed
Auto Email of PDF Forms
Completed forms automatically sent to your office email as PDFs
Expedited Health History Updates
Patients complete health history updates in seconds - not minutes
No Training Required
Intuitive interface - your team will understand it immediately
30-Day Money Back Guarantee
Try it risk-free. Not happy? Get a full refund, no questions asked
Stop Overpaying for Complicated Systems
❌ 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
✓ 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
All Forms Included
Patient Intake Forms
- Complete medical history
- Insurance card upload
- Emergency contacts
- HIPAA consent
- Demographics
Consent Forms
- Treatment consent
- Photo/video release
- Financial agreements
- Doctor e-signatures
- Expiring links
Appointment Forms
- New patient booking
- Existing patient updates
- Health history updates
- Auto-populate data
- Mobile responsive
Claim Your 3 Free Months
For your first 3 months
Enter promo code at signup • Save $599.97
Solo Practice tier only • Join 500+ practices already using Intake Dental
Trusted by 500+ Dental Practices
"Setup took literally 60 seconds. Our patients love filling forms on their phone before they arrive."
"We were paying $450/month for a system that required a 3-year contract. Intake Dental does everything we need for less than half the price."
"HIPAA compliance was a nightmare until we found this. The BAA is included and everything is encrypted. Finally peace of mind."
Frequently Asked Questions
How do I get my 3 free months?
Sign up at intake.dental/signup and enter your promo code during registration. Your credit card will be saved but not charged for the first 3 months. That's a total savings of $599.97!
Why do you need my credit card if it's free for 3 months?
We require a credit card on file but won't charge it for 3 months. This prevents abuse of the free offer and ensures a seamless transition after your promotional period. You can cancel anytime before the 3 months end with no charge.
Do I need to integrate with my practice management software?
No! That's the beauty of Intake Dental. Patients fill out forms, you get a PDF emailed to your office. Simply upload to your PMS like you would any other document. Works with Dentrix, Eaglesoft, Open Dental, Curve, and every other system.
How long does setup take?
60 seconds. We auto-provision your secure subdomain (yourpractice.intake.dental) when you sign up. No IT required, no configuration needed.
Is this really HIPAA compliant?
Yes. We use AES-256-GCM encryption plus our proprietary glyph layer at rest, TLS in transit, and store everything on AWS S3. A Business Associate Agreement (BAA) is automatically included with your subscription.
What is Bridge and is it really free?
Bridge is 100% free forever for all dental professionals. It's HIPAA-compliant messaging to connect with labs, specialists, and colleagues. We built it because dental professionals deserve secure communication without the price tag.
What happens after 3 months?
After your 3 free months, you'll be charged $199.99/month. There are no contracts - you can cancel anytime. Plus, we offer a 30-day money back guarantee if you're not satisfied.
Can patients fill this out on their phone in other languages?
Absolutely. The forms are fully mobile responsive and work perfectly in 20+ languages including Spanish, Chinese, Vietnamese, Korean, Arabic (with RTL support), and many more. Patients receive confirmations in their selected language too.
Ready to Save Time and Money?
Join 500+ California practices already using Intake Dental
Solo Practice tier only • Enter your promo code • No charge for 3 months • 30-day guarantee