Free forms › United Kingdom › Cardiff
Free patient intake form for physiotherapy clinics in Cardiff
A physio clinic in Cardiff, Wales needs a patient intake form that asks the right questions, shows prices in GBP, uses +44 phone numbers and fits UK GDPR and the Data Protection Act 2018. CalendarForm gives you that form free for 250 submissions a month, joined to a booking page that shows times in Europe/London (UTC+0, UTC+1 during daylight saving).
Make this form free See a demo booking page
What to put on a patient intake form in Cardiff
- 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 +44 20 7946 0958 or a Cardiff landline like +44 29 xxxx xxxx
- Date of birth, written DD/MM/YYYY in the UK
- Preferred language (English and Welsh)
- Consent: "I agree to the physio clinic using these details for my booking, as set out in the privacy notice (UK GDPR and the Data Protection Act 2018)"
Show the price as text on the booking page, for example "£30 for a first assessment, pay by card and contactless". CalendarForm does not take payment itself, so customers pay you the way they already do in the UK.
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 Cardiff, 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.
Cardiff at a glance
| Time zone | Europe/London: UTC+0, UTC+1 during daylight saving |
|---|---|
| Currency | GBP (£), written like £30 |
| Phone format | mobile +44 20 7946 0958; Cardiff landline +44 29 xxxx xxxx |
| Date format | DD/MM/YYYY |
| Week | starts Monday; weekend is Saturday and Sunday |
| How customers pay | card, contactless and bank transfer |
| Languages to consider | English and Welsh |
| Privacy law | UK GDPR and the Data Protection Act 2018 |
Privacy: what UK GDPR and the Data Protection Act 2018 means for this form
Nationally, UK GDPR and the Data Protection Act 2018 is the UK version of GDPR: have a lawful reason for each question, keep data only as long as needed, and let people ask for their data.
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 Cardiff
Cardiff changes its clocks for daylight saving, so a Initial assessment at 18:00 stays at 18:00 local time all year. CalendarForm skips times that do not exist on the night the clocks go forward.
Customers booking from abroad still see the time in Europe/London, 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 Europe/London and add your opening hours.
- Edit the questions above, add the UK GDPR and the Data Protection Act 2018 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 Cardiff?
- 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 GBP.
- Does the form follow UK GDPR and the Data Protection Act 2018?
- The form collects only the questions you add and shows your consent line. Following UK GDPR and the Data Protection Act 2018 is still your job: ask only what you need, say why, and link your privacy notice.
- Can I write the form in English?
- Yes. Questions, options and the thank-you message are free text, so you can write them in English and Welsh.
Related
- CalendarForm for physio and wellness clinics
- Online intake forms that come with the booking
- All free forms in United Kingdom
- Free patient intake form for physiotherapy clinics in United Kingdom
- Free patient intake form for physiotherapy clinics in London
- Free patient intake form for physiotherapy clinics in Manchester
- Free patient intake form for physiotherapy clinics in Birmingham
- Free client intake form for freelancers in Cardiff
- Free class registration form for yoga studios in Cardiff
- Free membership registration form for gyms in Cardiff
- Free student enrolment form for tuition centres in Cardiff