01
Patient submits
On a phone, in their own time. Nobody chases paperwork.
HIPAA-compliant intake for healthcare teams
10x the patients.Same size team.That's the plan, right?
Patient intake that arrives in your EHR already done. We build it, we run it, you're live in a week.
No card, no contract. We sign the BAA before any patient data moves.
- Signed BAA on every account
- PHI encrypted, stored in the US
- Native EHR integration
- Real-time eligibility
- read the security page
fastform / builderReading your request
01 / Describe itplain english
Branching, payments, e-signature and the EHR write are inferred. You do not wire them.
- Reading the request
- Building the flow
- Applying your brand
- Publishing
02 / It builds itself0 fields
Untitled clinicdraft intakePublished
Empty canvas. Tell it what you need on the left.
PHI encrypted in transit and at rest
Live at intake.acme.exampleA demo of the builder. Yours starts from your words, not ours.
01 / The hinge
The form is the easy half.
Anyone can put questions on a screen. What matters is what happens the second a patient hits submit. If the answer is someone retyping a PDF into the chart on Monday, that is your reason to switch.
The DIY version is a form builder, an automation tool and whoever keeps them wired. Here it is one vendor and one BAA.
02 / After submit
Submit is where the work starts. Ours, not yours.
Four things happen before anyone on your team opens a laptop.
02
Eligibility verified
Checked with the clearinghouse in real time, before a slot gets taken.
03
Appointment booked
With the right provider, because the form already asked what decides that.
04
Chart written to your EHR
Healthie, Practice Better or a FHIR server, through a native integration. No CSV exports.
You have a form. You do not have a pipeline.
Writes straight into 15 systems, and we add the one you run.
- Healthie
- Practice Better
- Candid Health
- Sohar Health
- Stedi
- Stripe
- Twilio
- Slack
- HubSpot
- Snowflake
- BigQuery
- Google Workspace
- Resend
- ActiveCampaign
- Freshdesk
03 / In their words
From the practices running on it.
We use fastform for intake and it's amazing. It's HIPAA compliant, we can build complex, logic-based forms where the data flows straight back into our EMR or wherever else we need it, and the AI no-code builder makes it fast and easy to create forms and integrations that would otherwise need a developer.
Before, six people split intake between them and insurance eligibility wasn't checked until after the appointment was already booked. Now it's one form, and the booking lands in Healthie already verified.
04 / White label
Patients see your clinic. They never see us.
Your logo, your colours, your domain. Built for the phone, because that is where patients fill it in.
Try a brand colour
The only place our name shows up is your invoice.
Acme Family Healthintake.acme.example
Question 2 of 5
Are you using insurance for this visit?
Yes, I have a cardNo, paying myselfI am not sure
We check your coverage before you pick a time.
Continue
Encrypted in transit and at rest
Live preview, persimmon
05 / Drop-off analytics
Which question loses them?
You will know, question by question, from the day you go live.
When a question is costing you patients, it stops being a hunch and starts being a rectangle.
Completion by questionExample view of the product. Sample data, not a customer result.
Reason for the visit
Legal name and date of birth
Contact details
Medical history
Current medications
Insurance card, front and back
Consent to treat
Pick an appointment
Submitted
Questions that branchPatient detailsUploadsE-signatureScheduling and paymentBiggest single drop
06 / Try it first
Fill one in before you talk to anyone.
Lots of working clinic forms you can fill in right now. Or give the demo your website and watch it build one in your brand.
07 / Pricing
One price. It is on the page.
HIPAA and a signed BAA come on every plan, the $199 one included. Compliance is not the upsell.
Annual is optional on both plans, at eleven months of monthly.
The whole product, one price
Build every form and workflow you have. Nothing is metered except the people it runs for.
- 100 active people included, then $0.75 to $2.00 each
- Unlimited forms, seats, builds and edits
- Every integration, no tier gate
- Custom domain and white label
- SSO, audit log and 2FA
Done for you
Tell us what you need. We keep it built, wired and working.
- You send changes, we make them
- Warehouse build and ongoing workflow changes
- Custom data region
- SLA and priority support
Self-serve signup is coming. For now every plan starts with a short call. The prices on this page are the prices.
We'll build yours free.
An active person is anyone a form or automation ran for that month, counted once. Builds and edits are never metered, so put every form you have in here.
08 / Questions
The short answers.
Is this actually compliant?
Yes, with nothing to negotiate. A signed BAA comes on both plans, the $199 one included, and PHI is encrypted in transit and at rest. No compliance hire, no enterprise sales cycle.
Where is our patient data stored, and how long do you keep it?
In a United States region of Google Cloud, encrypted in transit and at rest, under a BAA. You choose the retention window: anywhere from seven years down to erasing each submission the moment it reaches your EHR. The details are on the security page.
We already have custom forms. Why switch?
Ask your current setup what happens the second a patient hits submit. If eligibility, booking and the chart write still involve a person, the form was never the expensive part.
Who is this not for?
Solo practitioners, where a simpler tool will serve you better. And organisations past about 200 providers with a platform team of their own, who will want to build this in-house.
The fit is multi-provider practices where the front desk is the bottleneck and nobody's job is wiring software together.
How long until we are live?
Seven days from signature. That is a commitment, and if we cannot hold it for your flow, we tell you before you sign.
Do patients ever see fastform?
No. Published forms carry your logo, your colours and your domain, with no badge anywhere. Our name only appears on your invoice.
We'll build yours free.
Tell us the intake flow you need, in plain English. We build the real thing on your brand and show it to you working. If it is not clearly better than what you have, you have lost twenty minutes.
No card, no contract. We sign the BAA before any patient data moves.