Customer Example of Updox Forms

  • 16 September 2020
  • 5 replies

Userlevel 5
  • Community Manager
  • 15 replies

Powell Pharmacy recently added forms to their Updox account. In no time, they created an immunization consent form, posted it to their website, and have been texting it to patients to complete prior to visiting the pharmacy.


Check out their website to see an Updox form in action! 

5 replies

Another great example of forms already in use the work @jpittman at Neurological Associates of Augusta.  She has set up the follow pages directly from the practice website, as well as texting links to forms:

The completed forms are automatically routed to tags set up for the team to address.  Great innovation from users across the country!

Keep the customer examples coming!  Here are some new patient forms that @pam.anderson has created.  These are being delivered by text and one patient is quoted as “Such an easy process compared with other medical offices. Thank you!”  


Here are some examples of new patient forms Pam has set up for Dr. Karamlou in Newport Beach, CA :

Patient Demographics

Patient History Form

Notice of Privacy Practices

Acceptance of Financial Responsibility

Userlevel 1

so at this point, no signatures in this system, other than “esignatures”.   How can a signature or verification system be added to this?


@schechterd We will be releasing the ability to allow the patient to draw a signature on a form, scheduled for next week.  We’ll provide information around the product functionality, but always recommend checking with your internal compliance and regulations with your states and payers directly.  

Userlevel 1

Great, look forward to seeing a video of that process.

Also, the forms seem very ‘simple’ and would want to be able to add the sections I need for demographic, insurance release, medicare, etc.