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 São Paulo?

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 BRL.

Does the form follow the LGPD?

The form collects only the questions you add and shows your consent line. Following the LGPD is still your job: ask only what you need, say why, and link your privacy notice.

Can I write the form in Portuguese?

Yes. Questions, options and the thank-you message are free text, so you can write them in Portuguese.

Free forms › Brazil › São Paulo

Free patient intake form for physiotherapy clinics in São Paulo

A physio clinic in São Paulo needs a patient intake form that asks the right questions, shows prices in BRL, uses +55 phone numbers and fits the LGPD. CalendarForm gives you that form free for 250 submissions a month, joined to a booking page that shows times in America/Sao Paulo (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 São Paulo

Full name
Email
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 +55 11 91234-5678 or a São Paulo landline like +55 11 xxxx-xxxx
Date of birth, written DD/MM/YYYY in Brazil
Consent: "I agree to the physio clinic using these details for my booking, as set out in the privacy notice (the LGPD)"

Show the price as text on the booking page, for example "R$ 80 for a first assessment, pay by PIX and card". CalendarForm does not take payment itself, so customers pay you the way they already do in Brazil.

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 São Paulo, 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.

São Paulo at a glance

Time zone	America/Sao Paulo: UTC−3 all year, no daylight saving
Currency	BRL (R$), written like R$ 80
Phone format	mobile +55 11 91234-5678; São Paulo landline +55 11 xxxx-xxxx
Date format	DD/MM/YYYY
Week	starts Sunday; weekend is Saturday and Sunday
How customers pay	PIX, card and boleto
Languages to consider	Portuguese
Privacy law	the LGPD

Privacy: what the LGPD means for this form

Nationally, the LGPD is Brazil's General Data Protection Law: say the purpose of each question and get consent for anything optional.

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 São Paulo

São Paulo 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/Sao Paulo, 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/Sao_Paulo and add your opening hours.
Edit the questions above, add the the LGPD 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 São Paulo?: 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 BRL.
Does the form follow the LGPD?: The form collects only the questions you add and shows your consent line. Following the LGPD is still your job: ask only what you need, say why, and link your privacy notice.
Can I write the form in Portuguese?: Yes. Questions, options and the thank-you message are free text, so you can write them in Portuguese.