Drag and Drop Form Builder for Medical Practices

Learn from your leads and reduce your team's data input time with contact, registration, survey, quiz and profile forms protected by HIPAA compliant secure servers.

The Benefits of HIPAA Compliant Online Forms.

Reduce paperwork, improve data security and learn from your leads with easy to build and use online forms. You can reduce your team's data input time with contact, registration, survey, quiz and profile forms protected by HIPAA compliant secure servers.

Form Builder

Powerful Drag and Drop Form Development with no Coding

Simple or complex form creation is easy with influx Md form builder and its drag and drop interface.  Changes in your forms are immediately refelcted on your website so you don’t need a web developer every time you make a change.  

Form integration:

Form integration on any website is fast and simple. Take the short snippet of code produced by the form builder and paste it on your webpage where you want the form to appear.  That’s it.  Your form will become part of your website and deliver leads straight to Influx MD.

Contact forms:

Simple contact forms can be produced in the form builder in less than a minute.  Using preconfigured fields for, name, email, phone, and more you can simply drag them onto the form and publish it immediately. 

Lead profile forms:

Need more information than a standard contact form? Profile forms contain 90+ demographic, insurance, employer, and guarantor related forms to get you started on the verification or preauthorization process. You can gather information right from your website or use the 3 stage security features of your HIPAA compliant Clinic Link™ portal

Registration forms:

Planning a live seminar or other event? Encourage your leads sign up directly from your website or email.

Quizzes:

Want to evaluate understanding during an education program? Use the self-grading online quiz builder to create any length evaluation and attach it directly to your education materials.

Surveys

When you need to know what your leads and patients think, ask them.  Surveys are your secret weapon for building a comprehensive profile about leads to help you better meet their needs and provide additional marketing materials for them that will resonate.

More Patients With Less Effort See Pricing & Start Request a Demo

Acquire

Capture leads from anywhere using web forms, Facebook, and call tracking.

Manage

Move leads smoothly through intake and track every step from beginning to end.

Convert

Readiness scoring to know when leads are more likely to respond to calls to action.

Convertng leads

Nurture

Engage leads not ready to convert and talk until the time is right for them.

Lead nurturing