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Free patient intake form for physiotherapy clinics in Singapore

A physio clinic in Singapore needs a patient intake form that asks the right questions, shows prices in SGD, uses +65 phone numbers and fits the PDPA 2012. CalendarForm gives you that form free for 250 submissions a month, joined to a booking page that shows times in Asia/Singapore (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 Singapore

  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, in the local format (for example +65 9123 4567)
  9. Date of birth, written DD/MM/YYYY in Singapore
  10. Preferred language (English, Mandarin, Malay and Tamil)
  11. Consent: "I agree to the physio clinic using these details for my booking, as set out in the privacy notice (the PDPA 2012)"

Show the price as text on the booking page, for example "S$45 for a first assessment, pay by PayNow and card". CalendarForm does not take payment itself, so customers pay you the way they already do in Singapore.

What physiotherapy clinics usually let customers book

For physiotherapy clinics in Singapore, 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.

Singapore at a glance

Time zoneAsia/Singapore: UTC+8 all year, no daylight saving
CurrencySGD (S$), written like S$45
Phone format+65 9123 4567
Date formatDD/MM/YYYY
Weekstarts Monday; weekend is Saturday and Sunday
How customers payPayNow, card and NETS
Languages to considerEnglish, Mandarin, Malay and Tamil
Privacy lawthe PDPA 2012

Privacy: what the PDPA 2012 means for this form

Nationally, the PDPA 2012 is Singapore's Personal Data Protection Act: get consent, say why, and don't ask for NRIC numbers unless the law requires it.

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 Singapore

Singapore 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/Singapore, 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 Asia/Singapore and add your opening hours.
  3. Edit the questions above, add the the PDPA 2012 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 Singapore?
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 SGD.
Does the form follow the PDPA 2012?
The form collects only the questions you add and shows your consent line. Following the PDPA 2012 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 Mandarin.

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