Free download · 2026

Get exclusive access to our updated New Patient Registration Form

A ready-to-use new-patient intake packet, refreshed for 2026. Print it as-is or edit it for your practice - and see where paper forms are costing your front desk time.

Legally approved

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Before you print

Tips to perfect your new patient forms

Your data is only as good as the form

Chart entries depend on patients completing every field. A form that invites blanks creates rework at the front desk.

Stop losing time to handwriting

Illegible answers mean phone calls and guesswork. Clear field sizing and structure cut the time your team spends deciphering paperwork.

The fastest way to end missing info

Required-field logic. Digital forms simply will not submit incomplete - which is the one thing paper can never enforce.

Spending too much time on stressful paperwork?
Worried about staff violating HIPAA?
Tired of chasing patient documents?

Say goodbye to stressful paperwork

Streamline your practice with mConsent’s digital forms.

Patients complete forms remotely

Registration, medical history and consent finished at home, before the appointment.

Integrates with major PMS software

Data flows into Dentrix, Eaglesoft, Open Dental and more through authorized integrations.

Personalize your own forms

Build packets by appointment type, with your own consent language and branding.

Scan ID, insurance card and more

Patients photograph documents from their phone as part of the intake flow.

Patient data stored in the cloud

Records are encrypted at rest and in transit, and reachable from any authorized device.

Customized iPad for in-office use

A branded kiosk for walk-ins and anyone who did not finish at home.

Real client testimonials

What practices say after going paperless

“

mConsent saved me a lot of time, a lot of stress. I don’t have to do data input - everything goes into its place.

Mary Jo Mary Jo
“

Patients are able to fill out their paperwork online and they like that, because they don’t have this packet of paper to fill out.

Maria Maria
“

It saves tons of time and allows us to spend time with the patient, instead of patients sitting while the dentist inserts the information.

Cindy McCourt Cindy McCourt
“

Before mConsent everything was definitely more labor intensive - lots of time-consuming paperwork that we don’t have to do now.

Grace Grace
“

Before using mConsent we had to find and pull patients’ charts and input data. It takes a lot of time.

Stefanie Daley Stefanie Daley
“

Before using mConsent I had to print out the router sheet every day and get the patient’s signature. Very time consuming.

Adira Dee Bailey Adira “Dee” Bailey
Why practices choose us

Why 1,000+ dental offices chose mConsent

Built for HIPAA compliance

mConsent operates as a Business Associate under HIPAA and executes a BAA with each customer.

End-to-end encryption

Patient data is encrypted in transit and at rest, with access limited to authorized staff.

Training and support for staff

Onboarding and hands-on training so the whole team is comfortable from day one.

Fewer shared surfaces

No clipboards or shared pens passing between patients at the front desk.

Environmentally friendly

Cutting printed intake packets removes a recurring paper and toner cost.

Reliable tech support

A support team that answers, so a busy morning never waits on a ticket queue.

Go paperless

Get the updated form

Download the 2026 new patient registration packet, then see how mConsent handles registration, medical history and consent digitally.

Get the Free Form