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I will setup hipaa intake forms emr ehr integration intakeq practiceq jane bask health
Form design and quiz funnel specialist, Jotform, Typeform, ScoreApp, IntakeQ
Hi I'm Ezekiel. I specialize in forms, surveys, quizzes, and data collection systems that actually work. I build and automate on Jotform, Typeform, Tally, Paperform, Google Forms, Microsoft Forms, Fil...
About this Gig
Is your patient intake process slow, paper-heavy, or leaking data through non-compliant tools?
I build HIPAA-compliant intake systems and EHR/EMR integrations that automate patient onboarding, eliminate manual data entry, and keep your clinic fully secure and compliant.
I work with IntakeQ, PracticeQ, Jane App, Bask Health, SimplePractice, TheraNest, Kareo, DrChrono, AdvancedMD, CharmHealth, OpenEMR, Athenahealth, Jotform HIPAA, Formstack, and Cognito Forms integrated via Zapier, Make.com, Keragon, Airtable, and direct API.
What I deliver:
- HIPAA intake, consent, insurance, and SOAP note forms
- IntakeQ & PracticeQ setup, migration, and automation
- Jane App booking, charting, and client management setup
- EHR/EMR data syncing and secure PHI routing
- Patient onboarding automation reminders, triggers, follow-ups
- Existing system fixes, redesigns, and compliance upgrades
Every system is BAA-ready, automated, and built to scale with your practice. Ready to start working on your project? Message me now to get started.
My Portfolio
FAQ
What HIPAA form and EHR platforms do you work with?
I work with IntakeQ, PracticeQ, Jane App, Bask Health, SimplePractice, TheraNest, Kareo, DrChrono, AdvancedMD, CharmHealth, OpenEMR, and Athenahealth. For forms, I use Jotform HIPAA, Formstack, Cognito Forms, and Paperform. Automation is handled via Zapier, Make.com, Keragon, Airtable
Can you integrate my intake forms directly with my EHR or EMR system?
Yes. I build HIPAA-compliant intake forms and sync them to EHR/EMR platforms including IntakeQ, PracticeQ, DrChrono, Kareo, AdvancedMD, and CharmHealth using Zapier, Make.com, Keragon, or direct API connections for automated, real-time data routing and secure PHI handling.
Do you set up IntakeQ and PracticeQ from scratch or only fix existing accounts?
Both. I handle full IntakeQ and PracticeQ setup, configuration, form creation, workflow automation, and scheduling. I also redesign, migrate, fix, and optimize existing accounts — including broken automations, logic errors, integration failures, and HIPAA compliance gaps.
Can you automate patient onboarding — intake forms, reminders, and follow-ups?
Yes. I build automated patient onboarding workflows using IntakeQ, Jane App, Zapier, Make.com, or Keragon — triggering form delivery, booking confirmations, appointment reminders, and follow-up sequences automatically, fully HIPAA-compliant with secure PHI routing.
Can you automate patient onboarding — intake forms, reminders, and follow-ups?
Yes. I build automated patient onboarding workflows using IntakeQ, Jane App, Zapier, Make.com, or Keragon — triggering form delivery, booking confirmations, appointment reminders, and follow-up sequences automatically, fully HIPAA-compliant with secure PHI routing.
What types of medical forms do you build?
I create patient intake forms, consent forms, insurance verification, SOAP notes, mental health assessments, health history questionnaires, release of information forms, and any custom clinical documentation — built on IntakeQ, Jotform HIPAA, Formstack, Cognito Forms, or Paperform.
Can you fix or upgrade my existing intake system or EHR setup?
Yes. I audit, fix, redesign, and optimize existing systems on IntakeQ, PracticeQ, Jane App, SimplePractice, Jotform HIPAA, and Formstack — including broken automation, failed EHR integrations, logic errors, non-compliant form setups, and outdated HIPAA configurations.
Do you work with mental health and behavioral health practices?
Yes. I specialize in mental health intake systems using SimplePractice, TheraNest, TherapyNotes, IntakeQ, and Jane App — covering HIPAA intake forms, consent, assessments, and automated client onboarding workflows tailored for therapy, counseling, and behavioral health practices.
Is a BAA required, and do the platforms you use support it?
Yes. Any platform handling PHI requires a signed Business Associate Agreement. I configure platforms that support BAA execution — including IntakeQ, PracticeQ, Jotform HIPAA, Formstack, Jane App, and SimplePractice — ensuring your full intake system meets HIPAA requirements from day one.
