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Free patient intake form for physiotherapy clinics in Guadalajara

A physio clinic in Guadalajara, Jalisco needs a patient intake form that asks the right questions, shows prices in MXN, uses +52 phone numbers and fits the LFPDPPP. CalendarForm gives you that form free for 250 submissions a month, joined to a booking page that shows times in America/Mexico City (UTC−6 all year, no daylight saving).

Make this form free See a demo booking page

What to put on a patient intake form in Guadalajara

  1. Full name
  2. Email
  3. What brings you in and when did it start?
  4. Pain level today (0–10)
  5. Current medication
  6. GP or referring doctor (optional)
  7. Consent to assessment
  8. Phone: mobile like +52 55 1234 5678 or a Guadalajara landline like +52 33 xxxx xxxx
  9. Date of birth, written DD/MM/YYYY in Mexico
  10. Consent: "I agree to the physio clinic using these details for my booking, as set out in the privacy notice (the LFPDPPP)"

Show the price as text on the booking page, for example "$400 MXN for a first assessment, pay by card and SPEI transfer". CalendarForm does not take payment itself, so customers pay you the way they already do in Mexico.

What physiotherapy clinics usually let customers book

For physiotherapy clinics in Guadalajara, 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.

Guadalajara at a glance

Time zoneAmerica/Mexico City: UTC−6 all year, no daylight saving
CurrencyMXN ($), written like $400 MXN
Phone formatmobile +52 55 1234 5678; Guadalajara landline +52 33 xxxx xxxx
Date formatDD/MM/YYYY
Weekstarts Monday; weekend is Saturday and Sunday
How customers paycard, SPEI transfer, OXXO cash and Mercado Pago
Languages to considerSpanish
Privacy lawthe LFPDPPP

Privacy: what the LFPDPPP means for this form

Nationally, the LFPDPPP is the federal law on personal data held by private parties: show an aviso de privacidad (privacy notice) before collecting 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 Guadalajara

Guadalajara has no daylight saving, so your timetable never shifts against UTC: UTC−6 every day of the year.

Customers booking from abroad still see the time in America/Mexico City, with the zone printed next to it, and their confirmation email repeats it.

Set it up in four steps

  1. Sign up free, pick the closest business type, and rename the starter form to "Patient intake form".
  2. Set the time zone to America/Mexico_City and add your opening hours.
  3. Edit the questions above, add the the LFPDPPP consent line, and attach the form to your booking page.
  4. 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 Guadalajara?
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 MXN.
Does the form follow the LFPDPPP?
The form collects only the questions you add and shows your consent line. Following the LFPDPPP 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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