Pre-Visit Health & Medication Update — Update / setup form (auth-only) for Health Care / Therapy. Standalone version — a hosted mini landing page (an embeddable twin is also available).
Help your provider prepare by refreshing what’s changed since we last connected — what you’d like to focus on, who supports your care, and where your pharmacy is. Keep it to what you’re comfortable sharing.
What it collects (by section):
- What to focus on — Topics to Focus On (self-reported) [multi-select: Stress management / Relationships / Grief/Loss / Life transitions / Sleep routines / …]; Health/Therapy Notes (client-specific) [long text].
- Care team & pharmacy — Primary Care Provider (name/contact) [short text]; Pharmacy Preference (name/location) [short text]; Care Team Contacts (names/roles) [long text].
- Staying on track — Therapy/Program Goals (non-clinical) [long text]; Outcome Tracking Preference [dropdown: Goal check-ins / Standardized surveys / Informal check-ins / None]; Group/Workshop Interest (health) [multi-select: Mindfulness / Parenting / Social skills / Psychoeducation / Pain management / …].
Form type: Update / setup (up), auth-only. Niche: Health Care / Therapy. Deployment: standalone.
Best for / surface when: Health Care / Therapy client workflow — pre-visit health & medication update.