Intake Form Recommendations

[IHawkDO]

Does anyone have an intake form that they have found to be efficient and includes the necessary information, particularly what is needed for insurers? I'm joining a new practice, and they don't have a standardized intake, as I'll be the first full time pain doc in an ortho group. My previous practice's intake form seemed to be too long, contain unnecessary information, and would often delay patients getting roomed. Bonus points if anyone is currently using it with eCW, as this is the EMR that I'll be using. Thanks in advance!

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[kstarm]

I quit using intake forms approximately 3 years ago and have not missed them at all. It would always take too long to get the patient's roomed and there was always extraneous information that the patient would put down that they then wanted to talk about. I have not run into 2 many issues with the insurers as I typically ask these questions and my scribe puts them in the note as we go through the visit.

 

[gdub25]

ECW will allow you to put your intake form questions on an iPad and when the patient answers them they automatically get transferred to your note. I don't do an HPI at all, it's all done by the patient in the lobby. For follow up patients, we actually do the opposite and do not use the iPad but rather give them a one page sheet for them to fill out. The iPad slows down the intake and we found the one page sheet to be faster and we just point and click in a template that hits all the highlights for insurance based on what the patient filled out on the paper.

 

[powermd]

I've gone the opposite direction. I created an online system and REQUIRE the patient to complete it first- or no scheduling. It includes all the annoying conservative care BS up to the standard set by Anthem, which is the worst. It calculates an Oswestry, as well as does some of the annoying an time consuming MIPS metrics like fall risk screening and PHQ. It collects all the items needed for our Athena intake process, so an assistant can just click through it without asking the patient anything. This part is not necessary, but it also sends the pain history to chat gpt and creates a narrative that could be used as an HPI. i paste all of this into my scribing software to create a super note.

See it live here: Clinical and Administrative Intake Forms - Interventional Pain Medicine

 

[drusso]

This is pretty much the most useful intake form we have...

 

[bubaghanush]

This is pretty much the most useful intake form we have...

View attachment 392077

What do you do if the intake form comes back like this?

 

[callmeanesthesia]

What do you do if the intake form comes back like this?

Referral to urology.

 

[drusso]

What do you do if the intake form comes back like this?

S2 DRG, cluneal blocks, and ganglion impar phenol chemoneurolysis.

 

[lobelsteve]

S2 DRG, cluneal blocks, and ganglion impar phenol chemoneurolysis.

Sent from Russo as a trick?

 

[drusso]

View attachment 392109

Sent from Russo as a trick?

There's an epidemic of cluneal neuralgia and post-COVID Modic changes.

 

[Ducttape]

During fellowship, one patient took a similar image and printed out 10 pages.

Each page was completely covered by a different icon in a different color. Blue dots. Yellow dashes. Red x's. Purple crosses. Etc.

So helpful - I saw the packet and let the rotating resident see the patient.

 

[sloh]

During fellowship, one patient took a similar image and printed out 10 pages.

Each page was completely covered by a different icon in a different color. Blue dots. Yellow dashes. Red x's. Purple crosses. Etc.

So helpful - I saw the packet and let the rotating resident see the patient.

Did they perhaps see a chiropractor before this?

 

[Laryngospasm]

What do you do if the intake form comes back like this?

😂

 

[Laryngospasm]

How’d you get a copy of my intake form I filled out?