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For Australian dietitians

Dietitian intake and consent forms

Registration, your own nutrition intake questions and your consent, in one link the client fills in on their phone before the first visit.

  • Signed on the client’s phone
  • Your own questions and wording
  • Australian data hosting
Start with the dietitian setupSee your own questions

Professional access for 30 days. No card. Registration and consent stay free on every plan.

A dietitian at his desk talking with a client who sits in an armchair with a tablet on her lap

For your clinic: one link before the first visit carries the registration, your intake questions and your consent. It arrives on the client’s record and is filed to Cliniko or PracSuite when connected. Payment stays with your existing billing.

Intake done before the first visit

  1. At booking

    Intake and consent, in one link

    Your clinic shares a link or QR code. The client enters their details and answers your own questions on their phone, checks them, and signs your consent before the first visit. It arrives on their record with an email to your clinic.

  2. At the first visit

    Everything is already on the record

    Contact details, Medicare, health fund and GP, your intake answers and the signed consent are on the client’s record before they arrive, ready for the appointment.

The registration on their phone

Contact details, Medicare, health fund and GP, and a check before sending. These are screens from the registration your client receives.

Springfield Dietetics

Step 1 of 5 · About You · ~6 min left

Fields without “(optional)” are required.

1 · Your name

Title (optional)MrsFirst nameMargeLast nameSimpsonPreferred name (optional)What you like to be called

2 · About you

Date of birth19/03/1984
Continue
Springfield Dietetics

Step 4 of 5 · Health Care Information · ~3 min left

1 · Your Medicare card

The 10 digits across the middle of your Medicare card.

Medicare number (optional)2951 64830 1IRN1

The IRN is the number next to your name on the card (1-9)

Expiry date (optional)08/2029

2 · Health fund & DVA

Only if you have one. This helps your clinic with claims.

Do you have private health insurance?

YesNoFund (optional)Springfield MutualMember # (optional)40318822ID # (optional)02

3 · Your GP

So your clinic can coordinate care if you want them to.

GP name (optional)Dr Marvin Monroe
BackContinue
Springfield Dietetics

Step 5 of 5 · Check before you send · ~1 min left

Check before you send

Everything's here.

About YouEdit this stepCompleteMarge Simpson, born 19 March 1984.How to Reach YouEdit this stepCompleteWe'll reach you at marge.simpson@example.com or 0491 570 006.Emergency ContactEdit this stepCompleteHomer Simpson (Husband).Health Care InformationEdit this stepCompleteMedicare ending 01, Springfield Mutual member, GP Dr Marvin Monroe.
BackSend to your clinic
1Five steps, and the time left. About You, How to Reach You, Emergency Contact and Health Care Information, then one screen to check. Your own questions, up to ten, come after these, up to seven to a page.
2Comfort. The client can make the text bigger, raise the contrast, switch to an easier-to-read typeface, add spacing or turn movement down.
3Medicare, health fund and GP. On from the start, each with a line on why it's asked. Switch any of them off when you edit your registration.
4Check before you send. Every step read back on one screen, with Edit this step beside each. It arrives on the client's record, and you get an email.

A nutrition intake form with your own questions

Add up to ten questions of your own, such as diet history, allergies or what the client hopes to get from their visits. Each can be yes or no, a date, text, or a list. They come after the standard steps, up to seven to a page, so the form never turns into one long scroll.

The answers arrive on the client’s record with the rest of the registration.

Questions from dietitians

Can I add my own nutrition intake questions?

Yes. Add up to ten questions of your own to the registration, such as diet history, allergies or what the client hopes to get from their visits. Each is yes or no, a date, text, or a list. They come after the standard steps, up to seven to a page.

Is the consent signed before the first visit?

Yes. The consent to treatment is part of the same link as the registration, so the client signs it at booking. It starts from a general one (confidentiality, cancellations and the client’s rights) that you edit into your own words.

Can I send a consent for a particular treatment?

Yes, when you need one. Treatment consents are off to start in the dietitian setup; one switch turns them on. Your clinic writes the wording, and there is no quote unless you add one.

Do clients pay through ClientForms?

No. Keep taking payment the way you do now, through your practice software or your own invoicing. Nothing in the registration or consent asks the client to pay.

Do clients need an account?

No. The registration and consent open from a link on the client’s phone. Your clinic can share the link or QR code at booking, or copy it into your existing email or text.

Where does the signed paperwork go?

The registration and signed consent stay on the client’s record. They are filed to Cliniko or PracSuite when connected, and your clinic can download the PDF from the record.

What does it cost?

Registration and consent forms are free on every plan. New practices get Professional access for 30 days without a card. See pricing for branding and other Professional features.

Intake and consent done before the first visit

Start with the dietitian setup, then make the questions and wording your own.

Start with the dietitian setup

See pricing · All registration and consent setups