{"product_id":"patient-intake-admin-kit","title":"Patient Intake Admin Kit | Clinic Forms Checklists PDF DOCX","description":"\u003cp\u003eThe \u003cstrong\u003ePatient Intake Admin Kit\u003c\/strong\u003e is a clinic intake form and front-office checklist pack for small practices.\u003c\/p\u003e\n\u003cp\u003eIt is for clinic admins who need a printable patient intake download and editable Word forms they can brand for their office.\u003c\/p\u003e\n\u003cp\u003eThe ZIP includes intake forms, admin checklists, printable PDFs, and DOCX mirrors for day-to-day front-desk use.\u003c\/p\u003e\n\n\u003cp\u003e\u003cem\u003eOrganizer blanks and clinic admin checklists only. Not medical advice. Not legal advice. Not HIPAA consulting. Not affiliated with any insurer, payer, EHR, or government program. Your clinic fills policy language, consent text, and field requirements from YOUR counsel and compliance rules. Single-clinic \/ single-practice use. No resale as templates.\u003c\/em\u003e\u003c\/p\u003e\n\n\u003ch3\u003eWhat's included\u003c\/h3\u003e\n\u003cul\u003e\n  \u003cli\u003eStart Here + How to Use guides\u003c\/li\u003e\n  \u003cli\u003eImportant disclaimer page\u003c\/li\u003e\n  \u003cli\u003eNew-patient intake checklist (PDF + DOCX)\u003c\/li\u003e\n  \u003cli\u003eDemographics \/ insurance info stub (blank fields)\u003c\/li\u003e\n  \u003cli\u003eConsent \/ acknowledgement cover sheet (blank policy blocks)\u003c\/li\u003e\n  \u003cli\u003eVisit prep checklist\u003c\/li\u003e\n  \u003cli\u003eReferral tracking log\u003c\/li\u003e\n  \u003cli\u003eREADME + LICENSE (single-clinic use)\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003ch3\u003eWho it's for\u003c\/h3\u003e\n\u003cul\u003e\n  \u003cli\u003eClinic admin and front-office staff who own new-patient intake\u003c\/li\u003e\n  \u003cli\u003eSmall practices rebuilding intake from sticky notes and inbox chaos\u003c\/li\u003e\n  \u003cli\u003eTeams that want blank organizer shells, not fake medical or insurer forms\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003ch3\u003eWho it's not for\u003c\/h3\u003e\n\u003cul\u003e\n  \u003cli\u003eAnyone seeking medical advice, legal advice, or ready-made consent language\u003c\/li\u003e\n  \u003cli\u003eAnyone needing prior-auth payer sheets (see Prior Authorization Admin Kit)\u003c\/li\u003e\n  \u003cli\u003eAnyone seeking insurer affiliation, EHR integration, or PLR \/ resale rights\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003ch3\u003eFormat \u0026amp; delivery\u003c\/h3\u003e\n\u003cul\u003e\n  \u003cli\u003eInstant digital ZIP after checkout via Shopify Digital Products (gated download)\u003c\/li\u003e\n  \u003cli\u003eUS Letter PDFs (scale to A4 at print) + editable DOCX\u003c\/li\u003e\n  \u003cli\u003eSingle-clinic \/ single-practice use · Brand with your clinic info · Not for resale as templates\u003c\/li\u003e\n\u003c\/ul\u003e\n\n\u003cp\u003eFor prior-auth queue process sheets, see the \u003ca href=\"https:\/\/dcadditivepros.com\/products\/prior-authorization-admin-kit\"\u003ePrior Authorization Admin Kit\u003c\/a\u003e.\u003c\/p\u003e\n\n\u003cp\u003eQuestions: \u003ca href=\"https:\/\/dcadditivepros.com\/pages\/contact\"\u003eContact DC Additive Pros\u003c\/a\u003e · info@dcadditivepros.com\u003c\/p\u003e\n\n\u003cp\u003e\u003cstrong\u003ePrice:\u003c\/strong\u003e $24\u003c\/p\u003e","brand":"DC Additive Pros","offers":[{"title":"Default Title","offer_id":67591919829273,"sku":"DCAP-PIA-024","price":24.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0990\/9983\/6697\/files\/patient-intake-admin-kit-cover-1200x1200.png?v=1790603881","url":"https:\/\/dcadditivepros.com\/products\/patient-intake-admin-kit","provider":"DC Additive Pros","version":"1.0","type":"link"}