Dental Form Customization

$99.99

We design and build one custom patient form in Intake Dental / Dental Forms Pro—fully branded, mobile-ready, HIPAA-minded, with conditional logic, e-signature, and auto-routing. Includes QA and 1 revision after delivery.

Category:

Description

What you get

  • One fully customized form in Intake Dental / Dental Forms Pro (e.g., New Patient Intake, Medical History, Consent, or Specialty form)
  • Branding: colors, logo, typography, field styling to match your site
  • Smart fields & conditional logic (show/hide sections, required/optional rules)
  • Digital signature & date capture with validation
  • Notifications & routing (to practice email(s) or team inbox); optional webhook/CRM hook if supported
  • Mobile-first UX, accessibility-minded labels and errors, and anti-spam hardening
  • Confirmation page/message + optional patient email receipt
  • Quality check on live site + 1 round of revisions (text/logic/layout) within 14 days

Ideal for

Solo practices or single-location groups that need one high-quality, branded form without the hassle of building it themselves.

Requirements

  • WordPress admin access (Editor+), and an active Intake Dental / Dental Forms Pro installation
  • Your logo, brand colors, and list of fields/questions (or a copy/photo of your current paper/PDF form)
  • Notification targets (email(s)) and any special routing rules

Process

  1. We map your paper/PDF fields and confirm any conditional logic
  2. Build & brand the form on your site or staging
  3. QA on desktop & mobile, then publish
  4. One revision round included (copy/logic tweaks)

Notes & limits

  • Includes up to ~60 fields and standard conditional logic. Extra-large forms or specialty logic can be added as an add-on.
  • HIPAA-aligned features (encryption, access controls) rely on your hosting and plugin configuration; this service does not constitute legal compliance advice.
  • Does not include custom payment gateway development, 3rd-party subscription fees, or translation into additional languages (available as add-ons).

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