Free patient intake form for physiotherapy clinics in Hong Kong
A physio clinic in Hong Kong needs a patient intake form that asks the right questions, shows prices in HKD, uses +852 phone numbers and fits the Personal Data (Privacy) Ordinance (PDPO). CalendarForm gives you that form free for 250 submissions a month, joined to a booking page that shows times in Asia/Hong Kong (UTC+8 all year, no daylight saving).
Make this form free See a demo booking page
What to put on a patient intake form in Hong Kong
- 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, in the local format (for example +852 9123 4567)
- Date of birth, written DD/MM/YYYY in Hong Kong
- Preferred language (Cantonese and English)
- Consent: "I agree to the physio clinic using these details for my booking, as set out in the privacy notice (the Personal Data (Privacy) Ordinance (PDPO))"
Show the price as text on the booking page, for example "HK$300 for a first assessment, pay by FPS and Octopus". CalendarForm does not take payment itself, so customers pay you the way they already do in Hong Kong.
What physiotherapy clinics usually let customers book
- Initial assessment: a 1-to-1 appointment, 60 min
- Follow-up: a 1-to-1 appointment, 30 min
- Sports massage: a 1-to-1 appointment, 45 min
For physiotherapy clinics in Hong Kong, CalendarForm gives a physio, chiropractor or small wellness clinic an appointment page with separate services for first assessments and follow-ups, plus a pre-visit form so the first session starts with the history already in hand.
Make the initial assessment longer than follow-ups.
Set minimum notice so you can prepare for new patients.
Do not collect information you do not need.
Hong Kong at a glance
| Time zone | Asia/Hong Kong: UTC+8 all year, no daylight saving |
|---|---|
| Currency | HKD (HK$), written like HK$300 |
| Phone format | +852 9123 4567 |
| Date format | DD/MM/YYYY |
| Week | starts Monday; weekend is Saturday and Sunday (many shops open) |
| How customers pay | FPS, Octopus, PayMe and card |
| Languages to consider | Cantonese and English |
| Privacy law | the Personal Data (Privacy) Ordinance (PDPO) |
Privacy: what the Personal Data (Privacy) Ordinance (PDPO) means for this form
Nationally, the Personal Data (Privacy) Ordinance (PDPO) is Hong Kong's privacy law: give a Personal Information Collection Statement saying why you collect the 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 Hong Kong
Hong Kong has no daylight saving, so your timetable never shifts against UTC: UTC+8 every day of the year.
Customers booking from abroad still see the time in Asia/Hong Kong, 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 Asia/Hong_Kong and add your opening hours.
- Edit the questions above, add the the Personal Data (Privacy) Ordinance (PDPO) 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 Hong Kong?
- 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 HKD.
- Does the form follow the Personal Data (Privacy) Ordinance (PDPO)?
- The form collects only the questions you add and shows your consent line. Following the Personal Data (Privacy) Ordinance (PDPO) is still your job: ask only what you need, say why, and link your privacy notice.
- Can I write the form in Cantonese?
- Yes. Questions, options and the thank-you message are free text, so you can write them in Cantonese and English.
Related
- CalendarForm for physio and wellness clinics
- Online intake forms that come with the booking
- All free forms in Hong Kong
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- Free booking form for salons and barbers in Hong Kong
- Free massage intake form for massage therapists in Hong Kong
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