Winner CES 2026 · ISE 2026 · TMCnet 2026

AI Web Forms for Healthcare. Online patient intake forms that reply within seconds.

AI Web Forms puts online patient intake forms on your website that reply the moment a form is sent, in the patient's language. Each form asks up to five questions of your own, can collect a file or book a slot, reads your screening rules and creates the patient's front-office record for your access team.

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7 days free · per company, never per seat · nothing to install

Zanus AI · AI Web Forms · Screening
Online patient intake forms: up to five questions and screening rules that flag an urgent request, real Zanus AI screen

Screening

Ask the standard fields and up to five questions of your own; a screening rule tells your team about an urgent request the moment it arrives.

Easy setupSet up everything just by talking to Lisa AISee how ›

You“On the new-patient form, offer the first free slot and ask for the referral letter.”

Lisa“The new-patient form will offer the first free slot and ask for a referral letter, with an upload link if none arrives. Apply?”

You talk. Lisa sets it up. Applied only on your yes.

How Healthcare use it

1

A referring office submits a referral at six in the evening; the patient gets a reply that night offering free first-visit times.

2

A new-patient form says the injury happened yesterday; your screening rule marks it URGENT and the desk is told at once.

3

A patient forgets to attach the referral letter; the thank-you carries an upload link, and the file lands on their record.

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

Intake

Online patient intake forms with your own questions

Up to five questions

A text, a choice, yes or no, a date, a file to upload or a booking with live availability: you ask what the first visit needs.

Screening rules

A rule reads an answer you choose: URGENT tells the desk at once, and a request the practice does not take is declined politely, with nothing saved.

On an urgent request

Tell the desk only, offer the first free slot on your booking page, or send the instruction sheet kept in your files.

Files chased

When a question asked for a referral letter and none came, the thank-you carries an upload link, and the file goes to the patient's record.

The reply

New patient request forms answered on the spot

A reply in their language

The auto-reply goes out signed by the desk, says only what the form does next, and is written in the language the patient used.

The right checks

Tick only the checks a patient form needs, such as a verified e-mail before a booking link goes out. Spam never reaches the list.

One line on any page

Paste one line where the form belongs, inline, as a popup or as a compact row, in your colors and in every language you add.

Questions & answers

AI Web Forms for Healthcare: questions & answers

Can AI handle the new patient inquiry response from our website forms?

Yes. Each form is answered the moment it passes the checks you chose, day or night, in the patient's language, with the next step you decided: a booking, a call back or a message from the desk.

How do referral forms for medical practices work when another office sends one?

A referral form opens the patient's front-office record with the referring office's details and offers the patient a first visit. Your referral coordinator sees it with everything the form asked.

Can the form flag an urgent request?

Yes, by a screening rule you write on an answer. URGENT tells the desk at once and can offer the first free slot or send your instruction sheet. The form judges no symptom; it reads the answer your rule names.

Are free email addresses blocked on patient forms?

Only if you tick the company email check, which is meant for business forms. On a patient form you leave it off and keep the verified email check, so a confirmation reaches an address the patient confirmed.

Can the intake form be offered in Spanish?

Yes. Add the language codes you need and the form is translated, and the first reply goes out in the language the patient wrote in.

Where does patient intake automation stop and the desk take over?

The form replies, runs your checks, chases a missing file and offers a free slot by itself. When a screening rule marks a request urgent, the desk is told at once, and your access team reads every answer the patient gave before acting on it.

Keep exploring

Where next?

Start with the one thing you need. Add more anytime by asking Lisa.
AI Front Office for Healthcare ›

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 ›
TMCnet Enterprise AI Product of the Year 2026
Visitors meeting Zanus AI live at a 2026 trade show
Hands-on with the Zanus AI demo at a 2026 technology trade show

Give Lisa your website.
She sets up your business in 2 minutes.

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Try it free on your own business — no credit card, per company, never per seat.

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