SEE IT IN PRACTICE
A sample site,
built for patients.
Willow Family Care is a fictional practice. Everything below is an illustration of what we set up for yours.
Appointment requests
A short form on your site, so patients can ask for a visit at any hour.
- Patients pick a service and a preferred time
- Your team is notified and confirms with the patient
- Set up on HIPAAtizer, a secure forms platform
WillowFAMILY CARE
Our care Our team Visit usRequest an appointment
Full name
Jordan Ellis
Phone
(202) 555-0148
Email
jordan@example.com
New or existing patient
New patientExisting patient
Service
Annual checkup ▾
Preferred time
Mon morningTue afternoonWed morning
Send request ↗Our team will contact you to confirm availability.
Fictional practice · Sample form
Digital patient intake
Your paper intake packet, filled in online before the visit.
- Patients complete it on their phone or computer
- Staff receive the finished form, ready to review
- Built on HIPAAtizer
WillowFAMILY CARE
Our care Our team Visit usNew patient intake
Step 2 of 6Emergency contact
✓Patient details2Emergency contact3Insurance4Medical history5Consent
Emergency contact name
Riley Ellis
Relationship
Sibling ▾
Mobile phone
(202) 555-0163
Email
riley@example.com
← BackContinue
Fictional practice · Sample form
Reviews, built in
Your Google rating, shown where new patients decide.
- Your Google rating on your own site
- A one-click path to read every review
- Review links and QR codes for your front desk
★★★★★
“Easy to book, welcoming staff, and a team that listens.”
Illustrative review★★★★★
“The online forms saved me twenty minutes in the waiting room.”
Illustrative reviewFictional practice · Sample rating & reviews