AES-256 encryption SOC 2 compliant infrastructure Sub-30 second processing Your data never trains AI models

Healthcare Document

One wrong patient ID can trigger a compliance nightmare.

Patient Intake Form Data Extraction

Extract patient demographic and insurance information from intake forms for registration

No credit card required to get started.

27 Fields extracted
93%+ Accuracy rate
<30s Processing time

Clinical document processing delays patient care

Healthcare staff manually transcribe data from clinical documents. Errors impact patient safety, billing accuracy, and regulatory compliance.

  • High volume of clinical documentation
  • Critical patient safety implications
  • Regulatory compliance requirements
  • Manual entry delays care coordination

Data we extract from patient intake.

Structured output ready for your systems.

Patient Last NameExtract the patient last name...
Patient First NameExtract the patient first name...
Patient Middle NameExtract the patient middle name or initial...
Date of BirthExtract the date of birth. Return in YYYY-MM-DD fo...
GenderExtract gender: Male, Female, Other, Prefer not to...
SSNExtract the Social Security Number (may be partial...
AddressExtract the full street address...
CityExtract the city...
StateExtract the state...
ZIP CodeExtract the ZIP code...
Home PhoneExtract the home phone number...
Cell PhoneExtract the cell/mobile phone number...
EmailExtract the email address...
Emergency Contact NameExtract the emergency contact name...
Emergency Contact PhoneExtract the emergency contact phone number...
Emergency Contact RelationshipExtract the relationship to emergency contact...
Primary InsuranceExtract the primary insurance company name...
Primary Member IDExtract the primary insurance member/subscriber ID...
Primary Group NumberExtract the primary insurance group number...
Primary PolicyholderExtract the primary policyholder name if different...
Primary Policyholder DOBExtract the primary policyholder DOB. Return in YY...
Secondary InsuranceExtract secondary insurance name if present...
Secondary Member IDExtract secondary insurance member ID...
EmployerExtract the employer name...
Employer PhoneExtract the employer phone number...
Signature PresentIs the patient signature present? Yes or No...
Signature DateExtract the signature date. Return in YYYY-MM-DD f...
1

Upload

Upload your patient intake documents in PDF, image, or scanned format. Drag and drop or use our API.

2

Extract

Our AI identifies and extracts all 27 fields with 93%+ accuracy. No templates or training required.

3

Review

Review extracted data with confidence scores. Approve, edit, or flag items for human verification.

4

Export

Download as JSON, CSV, or Excel. Integrate via API or webhook to your existing systems.

Who uses patient intake extraction?

Health Systems

Extract clinical data for care coordination and analytics.

Health Plans

Process claims and clinical documents efficiently.

Medical Groups

Automate data extraction from patient records.

Healthcare IT

Extract data for system integration and migration.

Frequently asked questions.

Common questions about patient intake extraction.

Intake forms have demographics and history.

We extract patient info, demographics, insurance, medical history, medications, and allergies.

Forms vary by practice.

Our AI adapts to different intake form layouts. Key data is captured regardless of format.

What about consent forms?

Consent signature presence and date are flagged. Terms are your responsibility to verify.

Insurance information accuracy?

Insurance details are extracted. Verify eligibility separately.

This is PHI.

HIPAA-compliant infrastructure. PHI encrypted and deleted after extraction.

How do we get started?

Sign up for evaluation credits. Test with de-identified forms.

"HIPAA compliance kept me up at night"

Manual data entry meant constant risk. Every patient record touched by hand was a potential violation waiting to happen.

Automated extraction with full audit trails. Our last compliance review was the smoothest ever.

— Compliance Officer, Healthcare Provider

Ready to automate patient intake processing?

Processing 1,000+ documents monthly? Let's discuss your requirements.

No credit card required to get started.

P.S. Your clinical staff belongs with patients, not paperwork.