Build patient intake, appointment request and feedback forms in minutes. Share a link or embed them on your clinic website, and control access with passwords, schedules and response caps.
Admin and patient-experience forms, not medical records
Name, contact details, reason for visit and how they heard about you, filled in before they arrive.
Preferred doctor, date and time. Your team calls or messages to confirm the slot.
Rating, NPS and open comments after a visit, so you know what to improve.
Registrations with a response cap and a closing date, so you never overbook.
A short form on your website for patients who want the clinic to call them back.
Job applications, leave requests and supplier details for the clinic team.
Included on the Free plan unless noted
Share a form only with patients who have the password.
Open and close a form on the dates and times you choose.
Stop accepting responses after a set number, such as camp seats.
Up to 10 MB per file on Free and 100 MB per file on Pro.
Show follow-up questions only when they apply to the patient.
Fill in fields from the form URL, such as branch or doctor name.
Get an email for each response. Pro adds more recipients.
Give staff Owner, Admin, Editor or Viewer access.
From template to shared link
Edesy Forms is a general-purpose form builder. It is not a medical records system, it does not claim HIPAA compliance, and it does not sign Business Associate Agreements.
Good fits
Check your obligations first
Simple habits that help
Simple tools for small practices
Less typing at reception
Patients enter their own contact details
Requests in one place
Every response in a single list you can export
Email alerts
Know when a new request comes in
Works on any phone
Patients fill in forms from a shared link
Hear from patients
Ratings and NPS after each visit
See drop-offs
Analytics show which question people skip
Free to start
Unlimited forms and responses under fair use
Pro at ₹499 a month
Remove branding and email patients a confirmation
Pass new requests on through a webhook or Zapier
Templates and guides for Edesy Forms
Sign up free, start from a template and share the link with patients today.