AI Web Forms for Health & Human Services. Online intake forms for human services agencies
AI Web Forms gives you online intake forms for human services agencies that reply the moment they are sent, in the client's language. A form asks up to five questions of your own, takes documents, books the intake appointment on the spot, and screening rules alert a worker at once when an answer signals urgency.
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7 days free · per company, never per seat · nothing to install
Screening rules
Ask the standard fields and up to five questions of your own; screening rules tell your unit at once about an urgent answer.
Easy setupSet up everything just by talking to Lisa AISee how ›You“On the referral form, mark any answer about safety as urgent.”
Lisa“Answers about safety on the referral form are set to mark the referral URGENT and alert the unit at once. Apply?”
You talk. Lisa sets it up. Applied only on your yes.
How Health & Human Services use it
A midnight request for help with rent arrives without the lease; the reply carries an upload link for the missing file.
A school counselor's referral says the family has no food this weekend; a screening rule marks it urgent and the unit is told.
A home-care provider asks in Vietnamese to join your provider list and gets the first reply in Vietnamese.
REAL AI - the whole Front Office is AI, not old software with an AI button.
What’s included
- Any form on your site, contact, quote, demo request, application, answered in seconds, not the next morning
- The lead qualified and scored from what they wrote; the first reply sent immediately in their language
- E-mail verified (syntax, domain, deliverability) before anything is promised to it
- Contact record created; the owner alerted; the next step proposed
- Forms translated into your customers' languages; embedded on any site
- Feeds every automation you add: booking, quoting, follow-up, the AI Demo
Available on its own or inside a solution · See pricing › · Per company, never per seat.
Everything AI Web Forms does, for every business ›
Works withAI BookingAI QuotingAI Follow-upAI DemoAI TicketsAI File Cabinet
Your questions
Client intake forms for social services, screened on arrival
Up to five questions
Text, a choice, yes or no, a date, a group of fields, a file to upload or a booking question with live availability.
Screening rules
A rule reads one answer: URGENT tells the unit at once, and DECLINE answers politely and saves nothing when the request is one you do not handle.
On an urgent answer
Tell the unit only, offer the first free intake slot on your booking page, or send the emergency sheet from your files.
Spam kept out
Every form carries a hidden field and a limit per network, so only real people reach your intake list.
Every form
Referral forms for human services, one line on your site
Five ways to show it
Inline on the apply page, a popup, an exit form or a compact row with an e-mail field and a button.
Every language you serve
Add the language codes and the AI translates the form, so one referral form serves Spanish, Arabic and Somali speakers alike.
Who may edit
You decide who on your staff may edit each form, and your webmaster pastes one line on the page without a login.
Questions & answers
AI Web Forms for Health & Human Services: questions & answers
How fast does an online intake form get an answer?
At once. The reply leaves the moment the form passes the checks you ticked, in the language the person used, signed by your unit, and says only what happens next: an appointment, a document to send or a worker's call.
Can a form ask for documents?
Yes. A question can ask for a file to upload. When a file was asked for and none came, the thank-you carries an upload link, and the files go to the client's record, never into the AI's knowledge.
Does the AI decide from the form whether a family qualifies?
No. The form collects answers and documents, and the screening rules only flag urgency or politely decline what you do not handle. Whether a person qualifies is decided by your workers.
Can we offer multilingual application forms to the families we serve?
Yes. Add the language codes and the form is translated; the first reply matches the language the person used, which helps families who would otherwise wait for a bilingual worker.
What happens to spam on our forms?
It never shows. A hidden field and a limit per network are built into every form, so a bot reads thank you and nothing is saved or counted as a submission.
How do intake screening rules for agencies flag an urgent referral?
A rule watches one answer of a form, such as a question about safety or food for the weekend. When the answer matches, the submission is marked urgent and the unit is alerted at once. The AI never decides from a form whether a family qualifies.
Keep exploring
Where next?
Start with the one thing you need. Add more anytime by asking Lisa.
AI Front Office for Health & Human Services ›
Easy setup
Answers & books
Sells
Helps your team
Included
Award-winning AI
Winner at CES 2026, ISE 2026 and TMCnet Enterprise AI Product of the Year.
REAL AI - the whole Front Office is AI, not old software with an AI button.
Awards & trade shows ›
Give Lisa your website.
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Try it free on your own business — no credit card, per company, never per seat.
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