---
title: Hospital Bed Rental Client Intake Form Template | Paperform
description: Professional hospital bed rental intake form for medical equipment providers. Collect patient needs, rental duration, delivery requirements, and process rental agreements in one streamlined form.
url: "https://paperform.co/templates/hospital-bed-rental-client-intake-form"
type: static
generatedAt: "2026-03-28T00:44:09.094Z"
---

[← Back to free form templates](/templates/)    ![Hospital Bed Rental Client Intake Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/hospital-bed-rental-client-intake-form.png)
    [Preview](https://_preview.paperform.co/ai-template/hospital-bed-rental-client-intake-form) [Use this template for free](/create?ai-template=hospital-bed-rental-client-intake-form)    [Small Business Forms](/templates/category/small-business/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/)[Home Services](/templates/industry/home-services/) [Entrepreneur](/templates/role/entrepreneur/)[Small Business Owner](/templates/role/small-business-owner/)[Sales Professional](/templates/role/sales-professional/)     About this free form template
### Simplify Hospital Bed Rental Intake with Paperform

Whether you're a home healthcare equipment provider, medical supply company, or durable medical equipment (DME) rental business, managing hospital bed rentals requires gathering detailed patient information, coordinating delivery logistics, and securing rental agreements—all while maintaining a professional, compassionate experience for families during challenging times.

This **Hospital Bed Rental Client Intake Form** template helps medical equipment rental businesses streamline the entire onboarding process in one clear, professional form. Instead of juggling phone calls, paper forms, and follow-up emails, you can collect everything you need—from patient mobility needs and bed specifications to delivery addresses and rental duration—in a single submission that feeds directly into your scheduling and inventory systems.

#### Built for medical equipment rental workflows

The form guides clients through a logical intake process: starting with contact and patient information, moving into medical needs assessment to determine the right bed type, capturing delivery requirements and timing, and finishing with rental agreement acceptance and payment details. Conditional logic ensures that follow-up questions only appear when relevant—for example, asking about stair access only when the delivery location isn't on the ground floor.

With Paperform's **calculation fields**, you can display rental pricing that updates based on bed type, rental duration, and any optional equipment selected—giving clients transparent pricing before they submit. Connect **Stripe or PayPal** to collect deposits or first month's rental payments securely within the form, eliminating separate invoicing steps.

#### Automate coordination with Stepper

Once a rental request is submitted, use **[Stepper](https://stepper.io)** to automatically route the intake to your dispatch team, update your inventory management system, send confirmation details to the client, and create calendar events for delivery and pickup. You can trigger different workflows based on urgency (same-day delivery versus scheduled), bed type availability, or whether insurance pre-authorization is needed—keeping your team coordinated without manual handoffs.

#### eSignatures for rental agreements

Turn the rental intake into a legally binding agreement using **[Papersign](https://papersign.com)**. After submission, automatically generate a rental agreement document pre-filled with all the client and equipment details, then send it for eSignature. This creates a complete audit trail from intake through signed contract, all linked to the original form submission—perfect for compliance and billing records.

#### Why Paperform for medical equipment rental

For home healthcare equipment providers and DME rental companies, Paperform offers the right balance of professionalism, ease of use, and integration power. Forms can be branded to match your company, embedded on your website, or shared via direct link. With **SOC 2 Type II compliance** and secure data handling, you can trust that sensitive patient information is protected. Plus, with native integrations to CRMs, scheduling tools, and communication platforms, every rental request flows seamlessly into your existing operations.

Whether you're managing a few rentals per week or hundreds per month, this template gives you a ready-to-use foundation that you can customize to match your specific equipment offerings, service areas, and rental policies.
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