New Patient Registration Form Template

Make onboarding new patients seamless with our AI-generated New Patient Registration Form template. Easily collect vital information including personal details, insurance data, and medical history, while ensuring compliance and confidentiality. Perfect for clinics, hospitals, and medical practices looking to automate and simplify their patient intake process, our form builder's intelligent design and customization saves you time and reduces errors.

How it works

How it works

How it works

Discover the power of conversational forms generated by Nolana and learn how to get started in few easy steps

Discover the power of conversational forms generated by Nolana and learn how to get started in few easy steps

Discover the power of conversational forms generated by Nolana and learn how to get started in few easy steps

1

Customize the Patient Registration Form

Use our AI form builder to add, remove, or adjust fields according to your practice’s requirements. Include custom questions specific to your medical specialty or regulatory needs.

2

Distribute to Patients

Share the form with new patients using a secure link via email, SMS, or embed it on your clinic’s website. Patients can conveniently complete the registration prior to their appointment.

3

Centralize Patient Data

Automatically collect and organize submitted forms in a secure dashboard, making patient details easily accessible for your administrative and medical team while maintaining privacy.

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Nolana

Powered by Nolana

Powered by Nolana

Forms like these, and many were created in miniutes with Nolana’s powerful AI forms builder - trusted for education, recruitment, and internal ops workflows.

Forms like these, and many were created in miniutes with Nolana’s powerful AI forms builder - trusted for education, recruitment, and internal ops workflows.

Forms like these, and many were created in miniutes with Nolana’s powerful AI forms builder - trusted for education, recruitment, and internal ops workflows.

Other use cases

Other use cases

Pediatric Patient Information Form Template

Pediatric Patient Information Form Template

This Pediatric Patient Information Form collects essential personal, medical, and emergency contact details for children receiving healthcare. It streamlines patient intake, ensures accurate record-keeping, and enables healthcare providers to deliver effective and personalized care.

This Pediatric Patient Information Form collects essential personal, medical, and emergency contact details for children receiving healthcare. It streamlines patient intake, ensures accurate record-keeping, and enables healthcare providers to deliver effective and personalized care.

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Dental Patient Form Template

Dental Patient Form Template

This Dental Patient Form is designed to streamline patient intake and help dental clinics gather accurate and essential patient information easily and efficiently. The form ensures all necessary details are collected for better patient care and streamlined clinic management.

This Dental Patient Form is designed to streamline patient intake and help dental clinics gather accurate and essential patient information easily and efficiently. The form ensures all necessary details are collected for better patient care and streamlined clinic management.

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Patient Satisfaction Survey Template

Patient Satisfaction Survey Template

Collect valuable feedback from your patients with this Patient Satisfaction Survey. Designed to assess overall experience, services, and care quality, this form helps medical facilities pinpoint strengths and areas for improvement. Enhance your healthcare services through patient-driven insights.

Collect valuable feedback from your patients with this Patient Satisfaction Survey. Designed to assess overall experience, services, and care quality, this form helps medical facilities pinpoint strengths and areas for improvement. Enhance your healthcare services through patient-driven insights.

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Vision Care Patient Form: Streamline Your Optometry Patient Intake

Vision Care Patient Form: Streamline Your Optometry Patient Intake

The Vision Care Patient Form is designed to streamline the collection of essential patient information for optometry and ophthalmology practices. This form ensures that all necessary medical, personal, and vision-related data are gathered accurately and efficiently, providing a seamless experience for both patients and healthcare providers. Ideal for clinics and vision care specialists, this template helps improve patient intake, records management, and overall care quality.

The Vision Care Patient Form is designed to streamline the collection of essential patient information for optometry and ophthalmology practices. This form ensures that all necessary medical, personal, and vision-related data are gathered accurately and efficiently, providing a seamless experience for both patients and healthcare providers. Ideal for clinics and vision care specialists, this template helps improve patient intake, records management, and overall care quality.

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FAQs

FAQs

FAQs

What is Nolana?

Is Nolana free to use?

Who is Nolana for?

How does Nolana work?

What kinds of tasks can Nolana handle?

Can I customise what the AI agents do?

Do you train any models on my data?

Is Nolana secure?

Is Nolana SOC 2 compliant?

What is Nolana?

Is Nolana free to use?

Who is Nolana for?

How does Nolana work?

What kinds of tasks can Nolana handle?

Can I customise what the AI agents do?

Do you train any models on my data?

Is Nolana secure?

Is Nolana SOC 2 compliant?

What is Nolana?

Is Nolana free to use?

Who is Nolana for?

How does Nolana work?

What kinds of tasks can Nolana handle?

Can I customise what the AI agents do?

Do you train any models on my data?

Is Nolana secure?

Is Nolana SOC 2 compliant?

What is Nolana?

Is Nolana free to use?

Who is Nolana for?

How does Nolana work?

What kinds of tasks can Nolana handle?

Can I customise what the AI agents do?

Do you train any models on my data?

Is Nolana secure?

Is Nolana SOC 2 compliant?

Get started for free

Get started for free

Create your first form in seconds and share it with your audience - no credit card required.

Create your first form in seconds and share it with your audience - no credit card required.

© 2025 Nolana Limited. All rights reserved.

Leroy House, Unit G01, 436 Essex Rd, London N1 3QP

© 2025 Nolana Limited. All rights reserved.

Leroy House, Unit G01, 436 Essex Rd, London N1 3QP

© 2025 Nolana Limited. All rights reserved.

Leroy House, Unit G01, 436 Essex Rd, London N1 3QP

© 2025 Nolana Limited. All rights reserved.

Leroy House, Unit G01, 436 Essex Rd, London N1 3QP