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Patient Intake and Tracking Form

Record the entire treatment journey with a digital patient intake form built for clinics and private practices, and manage it on one screen.

Last updated:

Araç Bakım Formu

#2026-0148 · Onaylandı

Tamam

Müşteri

Ahmet Demir

0532 *** 48 72

Plaka

34 ABC 1234

BMW 320i · 2021

Yapılan İşlemler

Motor yağı kontrolü

Fren balata değişimi

Akü durum testi

Lastik diş derinliği

Müşteri Onayı

5 Nis 2026 · 14:32

Ahmet Demir

Dijital imza doğrulandı

Patient Intake and Tracking Form arayüzünden bir görünüm
Benefits

What this feature delivers

Complete patient records

Patient history, complaints, and the treatment plan come together in one form -- scattered notes disappear.

Fast intake process

The form is filled out on a mobile device, cutting patient waiting time noticeably.

Continuity and standards

Every patient goes through the same fields, preserving information consistency across your team.

Easy access

Past examination notes open with a single click, keeping the treatment process uninterrupted.

Secure storage

Sensitive data is kept safely in a digital environment -- the paper clutter ends.

Your patient files will never scatter again

This feature is launching soon. In a clinical setting, the biggest risk is patient information sitting in scattered notebooks or separate files. The Piyzi Patient Intake and Tracking Form brings the entire process into a single digital structure.

What does this feature do?

It stores everything from each patient's intake to their treatment plan in a standard digital form and keeps it accessible to your team.

  • Anamnesis and complaint records
  • Treatment plans and notes
  • Quick access to past examinations
  • Secure, encrypted storage

Who is it for?

  • Dental clinics -- keep every procedure record per patient in order
  • Dermatology and aesthetic practices -- offer complete tracking, including progress photos
  • Physical therapy and rehabilitation centers -- standardize session-based progress

How does it work?

When the patient arrives for an examination, you open the form. You enter personal details, anamnesis, the current complaint, and examination findings. You add the treatment plan to the same form. On every new visit, the system shows you past records and lets you follow the patient's journey. Other specialists on your team access the same information securely.

Key details

  • Customizable anamnesis fields
  • Examination photo attachments
  • Chronological patient history view
  • KVKK-compliant storage structure

Experience the Piyzi difference

Your patient's journey cannot be tracked with scattered notes. With the Piyzi Patient Intake and Tracking Form, the entire process becomes secure, instantly accessible, and visible on one screen. Your clinic's professionalism truly shows.

Use Cases

How it works in practice

Scenario

Dental clinic

Tracks the patient's dental history, completed procedures, and pending plans in a single form.

Scenario

Dermatology practice

Stores the patient's complaints, treatment steps, and photo records in an organized way.

Scenario

Physical therapy center

Keeps session-based progress notes and the treatment plan accessible to the whole team.

Integrations

Works with your favorite tools

This feature integrates seamlessly with the tools you already use.

WhatsApp Business

Google Calendar

Instagram

Email

SMS

Zoom & Meet

FAQ

Frequently asked questions

Yes, you can add or remove fields to match your specialty and examination flow. The form structure is fully flexible.

All data is kept in an encrypted environment and is accessible only to authorized users. The system operates in line with KVKK, the Turkish data protection law.

All past records open in chronological order from the patient profile, and you can review any examination with a single click.

The Patient Intake and Tracking Form is launching soon. Once active, you can start using it immediately from your dashboard.

Get Started

Try Patient Intake and Tracking Form today

14-day free trial. No credit card required, setup takes 2 minutes.

Patient Intake and Tracking Form | Piyzi