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Intake Note

Comprehensive new-patient intake capturing presenting concerns, complete history, social needs, screenings, patient goals, and the initial plan.

Included on every plan, including Free.

Layout preview with this template’s real sections. The content comes from your visit.
  1. Choose this templatePick it when you start a visit, or make it your default.
  2. Record the visitIn the room, over telehealth, or by dictation afterwards.
  3. Review, edit and signThe draft arrives in these sections, ready for your review.

What’s in this template

15 sections, in the order they appear in the finished document.

  1. 1Reason for VisitParagraph
  2. 2Presenting ConcernsParagraph
  3. 3Prior Care & RecordsBullets
  4. 4Past Medical & Surgical HistoryBullets
  5. 5MedicationsBullets
  6. 6AllergiesBullets
  7. 7Family HistoryBullets
  8. 8Social History & Social NeedsBullets
  9. 9Functional StatusBullets
  10. 10ScreeningsBullets
  11. 11Review of SystemsBullets
  12. 12Physical ExamAuto
  13. 13Patient Goals & PreferencesBullets
  14. 14Assessment & PlanAuto
  15. 15Follow-UpBullets

“Auto” sections use whichever format reads most clearly for what was discussed: prose or a list.

Browse all 40 templates
  • History & Physical (H&P)

    Clinical note · 13 sections · Internal Medicine

    Comprehensive outpatient history and physical for new patients or full evaluations, with complete history, review of systems, examination, and a problem-oriented plan.

  • Progress Note

    Clinical note · 8 sections

    General-purpose follow-up note for established patients documenting interval history, focused examination, and a problem-based assessment and plan.

  • New Patient Consultation

    Clinical note · 13 sections · Neurology

    Neurology new-patient consultation with a detailed neurological history, structured neurological examination, localization, and differential diagnosis.

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