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

Medical History Form Template – Streamline Patient Intake with AI

Medical History Form Template – Streamline Patient Intake with AI

Easily collect comprehensive patient medical histories using our AI-generated Medical History Form. This template is perfect for healthcare providers looking to automate and simplify the patient intake process, ensure accuracy, and improve patient care with detailed, well-structured health background information.

Easily collect comprehensive patient medical histories using our AI-generated Medical History Form. This template is perfect for healthcare providers looking to automate and simplify the patient intake process, ensure accuracy, and improve patient care with detailed, well-structured health background information.

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Pediatric Patient Information Form Template

Pediatric Patient Information Form Template

Easily collect comprehensive information about pediatric patients with our AI-generated Pediatric Patient Information Form template. Perfect for hospitals, clinics, and pediatric offices, this customizable form streamlines patient intake, improves data accuracy, and ensures healthcare providers have all critical details for safe and effective child care.

Easily collect comprehensive information about pediatric patients with our AI-generated Pediatric Patient Information Form template. Perfect for hospitals, clinics, and pediatric offices, this customizable form streamlines patient intake, improves data accuracy, and ensures healthcare providers have all critical details for safe and effective child care.

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Chiropractic New Patient Form Template

Chiropractic New Patient Form Template

Easily collect detailed patient information with this Chiropractic New Patient Form template, optimized for chiropractic clinics. Our AI form builder helps streamline patient intake, improve appointment efficiency, and ensures chiropractors receive all necessary patient details to deliver high-quality, personalized care on every visit.

Easily collect detailed patient information with this Chiropractic New Patient Form template, optimized for chiropractic clinics. Our AI form builder helps streamline patient intake, improve appointment efficiency, and ensures chiropractors receive all necessary patient details to deliver high-quality, personalized care on every visit.

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Vision Care Patient Form: Streamline Your Optometry Patient Intake

Vision Care Patient Form: Streamline Your Optometry Patient Intake

Easily collect vital information with our Vision Care Patient Form template, crafted for optometrists and eye clinics. Enhance patient experience, ensure accurate records, and save time with AI-powered form generation. Ideal for practices seeking efficient, professional patient intake and smoother workflow.

Easily collect vital information with our Vision Care Patient Form template, crafted for optometrists and eye clinics. Enhance patient experience, ensure accurate records, and save time with AI-powered form generation. Ideal for practices seeking efficient, professional patient intake and smoother workflow.

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FAQs

FAQs

FAQs

What is Nolana?

Who is Nolana for?

How does Nolana work?

Can I customise what the AI agents do?

Do you train any models on my data?

Is Nolana SOC 2 compliant?

Is Nolana GDPR complaint?

What is Nolana?

Who is Nolana for?

How does Nolana work?

Can I customise what the AI agents do?

Do you train any models on my data?

Is Nolana SOC 2 compliant?

Is Nolana GDPR complaint?

What is Nolana?

Who is Nolana for?

How does Nolana work?

Can I customise what the AI agents do?

Do you train any models on my data?

Is Nolana SOC 2 compliant?

Is Nolana GDPR complaint?

What is Nolana?

Who is Nolana for?

How does Nolana work?

Can I customise what the AI agents do?

Do you train any models on my data?

Is Nolana SOC 2 compliant?

Is Nolana GDPR complaint?

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