New patient registration
A preview of a practice’s check-in packet.
Download sample New patient registrationFictional practice · Detroit Websmith demo
Here’s what to bring, how the visit usually goes, and where to ask about cost before you come in.
Bring these if they apply to your visit.
Tell the team if you’d like them to talk through each step or agree on a hand signal before they start.
Ask whether an estimate includes the exam, cleaning and any imaging.
Insurance & paymentDownload the sample forms to see what you might receive before a visit. Please keep personal and medical information out of the demo.
A preview of a practice’s check-in packet.
Download sample New patient registrationA sample cover sheet for a private intake form.
Download sample Medical historyAn example of where a records request would start.
Download sample Records releaseA placeholder for a practice’s billing policy.
Download sample Financial policyUse the sample request form to try booking a first visit.