Online Patient Forms for Dental Practices
Streamline the patient registration process with truForm™.
Secure, Online Patient Registration for your website.
Filling out forms has never been easier.
How does it work?
A paperless office begins with a
paperless chart. TruForm™ enables your patients to pre-register while visiting your website through their computer, tablet or mobile device. Data entry is quick and easy! TruForm™ ensures a more accurate form completion process.
TruForm is a secure, HIPAA compliant
system enabling patients to transmit their Private Health Information (PHI)
prior to initial visit.
Eliminate data entry –
Patient information integrates with your practice management software. This data can be verified by your front desk, accepted and converted into a new patient account,
saving valuable time.
Save time, save money.
5 reasons patients should pre-register with PBHS TruForm™
- Immediate Return on Investment. Practices using TruForm™ are saving thousands of dollars and hundreds of hours in chart preparation.
- Why enter data twice? PBHS TruForm™ integrates with many popular Practice Management Software package eliminating data entry of patient demographics and health history. TruForm™ can be customized with your forms.
- Integrates with your iPad™ or Topaz Tablet. Only PBHS TruForm™ integrates with iConsult™ or your Topaz Signature Tablet. Collect digital signatures for health histories completed online, treatment authorizations, informed consents and fees and payments.
- Integrates with Lexi-comp. Eliminate patient errors when inputting names of prescriptions, dosage and frequency of dosage.
- An average of 70% of patients pre-register with PBHS TruForm™. Save time and money! TruForm™ is HIPAA compliant, a secure and safe way of transferring information from your website into your practice management software.
PBHS TruForm™ lets patients pre-register from your website
and enables referring doctors to refer patients directly online!
Online demonstrations of patient registration and referral forms are available by clicking the links below.
Forms can be completely customized for your practice.
Patient Registration Form Medical
Patient Registration Form Oral Surgery
Patient Registration Form (Spanish) Oral Surgery
Patient Registration Form General Dentist
Patient Registration Form (Spanish) General Dentist
Patient Registration Form Endodontist
Patient Registration Form Periodontist
Referral FormOral Surgery
Referral Form Periodontist
Referral Form Endodontist
Patient Registration Form Pediatric Dentist
* Please inquire about our Canadian and Spanish Registration Forms
Digital signatures made easy! Our new TruForm™ portal eliminates the costly need for Adobe Acrobat and third party signature pads. PBHS now enables your patients to sign their secured form(s) from home using a desktop, tablet or phone. Doctor and staff signatures can be completed in the office, with no additional software required. Ask our Sales or Support team for further information!