Podiatry Patient Registration & Intake Form

Streamline Your Podiatry Practice with a Professional Patient Intake Form

A well-designed podiatry patient intake form is essential for delivering quality foot care from the first appointment. This Podiatry Patient Registration & Intake Form template helps podiatrists, foot specialists, and clinic administrators capture complete patient histories, assess foot conditions, evaluate diabetes-related foot care needs, and determine orthotic requirements—all before the patient enters the examination room.

Built for Podiatry Clinics and Foot Care Specialists

Whether you run an independent podiatry practice, work in a multi-specialty clinic, or manage a sports medicine facility, this template addresses the unique intake needs of foot and ankle care. It covers everything from basic patient demographics and insurance information to detailed foot pain mapping, gait concerns, diabetes foot screening, and custom orthotic assessments.

Why Paperform for Healthcare Registration?

Paperform makes it easy to create professional, on-brand patient intake forms that work seamlessly on any device. New patients can complete registration from home before their appointment, reducing waiting room time and improving clinic efficiency. With conditional logic built in, the form adapts based on patient responses—showing diabetes foot care questions only when relevant, or diving deeper into orthotic needs when indicated.

The doc-style editor lets you add your clinic logo, customize colors to match your brand, and include helpful images or videos explaining foot conditions. Connect to your practice management software, send data to Google Sheets for tracking, or use Stepper to automatically route new patient information into your scheduling system and trigger welcome emails.

Secure, Compliant, and Patient-Friendly

While Paperform is not HIPAA compliant, it is SOC 2 Type II certified and offers robust security features suitable for many healthcare administrative workflows. This template is designed to collect the clinical information you need while maintaining a patient-friendly experience that encourages completion.

From solo practitioners to growing podiatry clinics, this template helps you deliver a professional first impression while gathering the detailed foot health information needed to provide exceptional care from day one.