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Free patient intake form for physiotherapy clinics in Buenos Aires
A physio clinic in Buenos Aires needs a patient intake form that asks the right questions, shows prices in ARS, uses +54 phone numbers and fits the Personal Data Protection Law 25.326. CalendarForm gives you that form free for 250 submissions a month, joined to a booking page that shows times in America/Argentina/Buenos Aires (UTC−3 all year, no daylight saving).
Make this form free See a demo booking page
What to put on a patient intake form in Buenos Aires
- Full name
- What brings you in and when did it start?
- Pain level today (0–10)
- Current medication
- GP or referring doctor (optional)
- Consent to assessment
- Phone: mobile like +54 9 11 1234-5678 or a Buenos Aires landline like +54 11 xxxx-xxxx
- Date of birth, written DD/MM/YYYY in Argentina
- Consent: "I agree to the physio clinic using these details for my booking, as set out in the privacy notice (the Personal Data Protection Law 25.326)"
Show the price as text on the booking page, for example "$15.000 ARS for a first assessment, pay by Mercado Pago and bank transfer". CalendarForm does not take payment itself, so customers pay you the way they already do in Argentina.
What physiotherapy clinics usually let customers book
- Initial assessment: a 1-to-1 appointment, 60 min
- Follow-up: a 1-to-1 appointment, 30 min
- Sports massage: a 1-to-1 appointment, 45 min
For physiotherapy clinics in Buenos Aires, CalendarForm gives a physio, chiropractor or small wellness clinic an appointment page with separate services for first assessments and follow-ups, plus a pre-visit form so the first session starts with the history already in hand.
Make the initial assessment longer than follow-ups.
Set minimum notice so you can prepare for new patients.
Do not collect information you do not need.
Buenos Aires at a glance
| Time zone | America/Argentina/Buenos Aires: UTC−3 all year, no daylight saving |
|---|---|
| Currency | ARS ($), written like $15.000 ARS |
| Phone format | mobile +54 9 11 1234-5678; Buenos Aires landline +54 11 xxxx-xxxx |
| Date format | DD/MM/YYYY |
| Week | starts Monday; weekend is Saturday and Sunday |
| How customers pay | Mercado Pago, bank transfer, card and cash |
| Languages to consider | Spanish |
| Privacy law | the Personal Data Protection Law 25.326 |
Privacy: what the Personal Data Protection Law 25.326 means for this form
Nationally, the Personal Data Protection Law 25.326 is Argentina's data law: tell people the purpose and get consent before collecting their details.
This patient intake form asks about health, which most privacy laws treat as sensitive. Ask only what the clinician really needs and say why next to the question.
CalendarForm keeps each business's answers separate, lets you export them to CSV, and does not use them for anything else. Link your own privacy notice in the form's description.
Booking times in Buenos Aires
Buenos Aires has no daylight saving, so your timetable never shifts against UTC: UTC−3 every day of the year.
Customers booking from abroad still see the time in America/Argentina/Buenos Aires, with the zone printed next to it, and their confirmation email repeats it.
Set it up in four steps
- Sign up free, pick the closest business type, and rename the starter form to "Patient intake form".
- Set the time zone to America/Argentina/Buenos_Aires and add your opening hours.
- Edit the questions above, add the the Personal Data Protection Law 25.326 consent line, and attach the form to your booking page.
- Share your link. Each booking sends an email confirmation with a cancel link, and a reminder 24 hours before.
Questions
- Is CalendarForm a medical records system?
- No. It handles booking and pre-visit forms. Keep clinical notes in your records system.
- Can patients reschedule?
- They cancel with the link in their email and book a new time.
- Is a free patient intake form enough for physiotherapy clinics in Buenos Aires?
- For most small physiotherapy clinics, yes. You get 250 form submissions and 100 bookings free every month; after that, $5 buys 2,000 more submissions or 500 bookings, and packs never expire. Prices on your page can be in ARS.
- Does the form follow the Personal Data Protection Law 25.326?
- The form collects only the questions you add and shows your consent line. Following the Personal Data Protection Law 25.326 is still your job: ask only what you need, say why, and link your privacy notice.
- Can I write the form in Spanish?
- Yes. Questions, options and the thank-you message are free text, so you can write them in Spanish.
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