Patient opens the form
- Visit details and registration information are entered.
- The patient selects a suitable available appointment.
Intake Form AgentIn beta
Patients complete intake and choose an appointment in one flow. Caesar checks the submitted insurance and writes validated details to your connected EMR before the patient arrives.

See the work
These illustrative flows show a new booking and an insurance detail that needs staff attention.
Staff can review a booked visit with the intake details already available.
What Intake Form Agent does
A coverage question is visible before check-in rather than waiting in a form attachment.
What Intake Form Agent does
What it handles
Intake should prepare the visit while the patient completes it. Caesar connects the answers to registration and scheduling, with coverage issues flagged before arrival.
Use questions suited to the visit and bring forward existing details for returning patients.
Offer open appointments and let the patient choose a slot while completing intake.
Read the submitted insurance card and run an eligibility check through the connected workflow.
Send validated demographics and intake information to the appropriate EMR fields.
Fits your practice
Patients can complete intake through a link from your practice or a form on your website.
Use a secure link through a supported channel or add the intake flow to your site.
Match returning patients and collect the details relevant to their visit.
Run the configured eligibility check and offer permitted appointment slots.
Write validated fields to the EMR and surface issues for your staff.
Coverage issues and incomplete information are flagged for your team. Your practice sets the questions and appointment rules. The Intake Form Agent is in beta, with the available functions confirmed for your systems before rollout.
We confirm the available connections and functions in your electronic medical record system, or EMR, before setup.
Check your EMR integration


Available functions vary by system and agent.
Before you start
What to expect from Intake Form Agent, and what your team controls.
The Intake Form Agent connects a questionnaire to patient identification, scheduling and insurance checks. Validated information lands in structured EMR fields instead of only becoming a PDF for staff to re-key. This workflow is in beta, with available functions confirmed before setup.
Yes. It offers openings from the connected schedule and books within the intake flow. Your practice controls the visit types and appointments offered, including new-patient bookings after hours.
No. A secure link opens in the browser on a phone or computer without a separate app or login. Forms can be delivered by SMS, email, website or connected patient portal.
The agent reads the submitted insurance card and checks eligibility through the connected payer workflow. Expired coverage and plan mismatches are flagged for staff before the visit. Coverage issues and care-gap flags remain review items for your team.
Validated demographics, insurance details, medical history and consents can be written to structured registration fields along with the appointment. History includes medication and allergy information, past surgeries and family history. We confirm the available fields in your system.
Yes. The Intake Form Agent runs on HIPAA-compliant infrastructure. Data is encrypted in transit and at rest. Caesar Health executes a Business Associate Agreement (BAA) at contract signing. SOC 2 Type II is in progress.
Check whether it books against your live schedule, verifies payer eligibility before the visit, writes discrete EMR data and works without a patient app. Caesar connects those steps in one intake flow, with the supported scope agreed for your practice.
Patients can book without waiting for a callback. Insurance issues surface before arrival, and validated fields reach registration without staff re-keying a form. Returning patients can confirm existing details instead of completing the whole history again.
Yes. Questions can adapt to the visit type and chief complaint. Your approved HIPAA acknowledgment, treatment consent and financial policy can be signed and stored through the digital consent workflow.
Supported write-back includes registration, insurance and appointment data in Epic, athenahealth, eClinicalWorks and NextGen. We confirm the connection and enabled fields before the beta rollout.
English and Spanish are in production. Brazilian Portuguese is listed for launch, with a wider 50+ language capability available for configuration. Forms are mobile-responsive, and we confirm the language and approved wording before rollout.
Intake Form Agent
Walk through your intake form with us and see how booking and registration can happen in the same flow.
Book a demo