Intake Forms and E‑Signatures Software for Chiropractors

Make first impressions feel effortless.

Give new and returning patients a smoother way to book, complete intake forms, and sign documents online before they arrive. With flexible form building, appointment booking, client records, and built-in digital signatures, you can keep intake organized without adding extra front-desk chaos.

Built for a Smoother Patient Intake

Chiropractic offices collect a lot of information upfront, and it helps when your forms can actually keep up.

Use online forms to gather:

• Contact details
• Health background and longer written responses
• Dates and scheduling preferences
• Yes/no answers and agreement checkboxes
• File uploads for relevant documents
• Patient signatures directly on the form

Breely supports a wide range of question types, including paragraph fields, date fields, file uploads, contact info, phone number fields, and agreement-style questions for terms and policies. It also includes a signature field that lets clients sign or type their name right on the form.

Secure, Simple E‑Signatures

No printing. No scanning. No “I forgot to bring the paperwork.”

When a patient adds a signature, the form becomes digitally signed, timestamped, and uneditable. A PDF copy of the signed form can also be downloaded, which is helpful when you need clear documentation and a clean paper trail.

That means your clinic can collect signed intake paperwork and acknowledgments online with less back-and-forth and fewer clipboard marathons.

Intake Forms That Connect With Booking

A good intake experience should work hand in hand with scheduling.

Breely forms can include an appointment booking question, turning the form into a scheduling flow. You can also customize the booking flow, filter options, and support recurring appointments or multiple spots when needed.

That makes it easier to create a patient journey like this:

• Book an appointment
• Complete intake details
• Agree to office terms
• Sign required documents
• Receive confirmations and reminders

Breely also supports reminders and follow-up notifications based on booking activity, including when an appointment is scheduled, coming up soon, completed, canceled, or rescheduled.

Keep Patient Information Organized

Intake should not disappear into a digital junk drawer.

Breely’s client information fields are designed to gather core contact details and create or match client records. Clients can also log in to pre-fill forms with past information, which can make repeat visits faster and easier.

Helpful benefits include:

• Name and email capture tied to client records
• Phone number collection for communication workflows
• Returning client login and pre-filled form data
• Easier management of patient details over time

A Better Experience for Patients and Staff

For chiropractors, better intake software means less manual work and a more polished patient experience.

With online forms and e-signatures, your team can spend less time chasing paperwork and more time helping patients feel welcome, prepared, and ready for care.

Why clinics choose this approach

• Shorter check-in time
• Fewer incomplete forms
• Clearer documentation
• Easier booking and follow-up
• A more modern patient experience

Ready to make intake easier for your chiropractic practice? Start building smarter online forms with e-signatures and give your patients a smoother path from booking to treatment.