Patient Intake Portal - Health Information Form Customization

2 min. readlast update: 10.06.2025

Patient Intake Portal - Health Information Form Customization

The Health Information Form is part of the Patient Intake Portal and the TEPE (Total Electronic Patient Entry) system included with 4D EMR.

Practice customizations for this feature are shown below and can be modified in Practice>>Settings>>Patients>>Portal Options.

Options for customizing the Helath Information Form are shown below.


Patient Intake Portal: Global Options

Practice>>Settings>>Patients>>Portal Options:  General section


Patient Intake Portal: Identity Confirmation

Sections indicated with red arrow may be customized:  Practice>>Settings>>Patients>>Portal Options: Logo section (see below images).

Practice>>Settings>>Patients>>Portal Options: Information Page section


Patient Intake Portal: Patient Task Options

Sections indicated with red arrows may be customized:  Practice>>Settings>>Patients>>Items Needing Attention: Logo section (see below images).

Practice>>Settings>>Patients>>Portal Options: Information Page section


Patient Intake Portal>>Form List

No customization options.


Patient Intake Portal>>Health Information Form: Identity Page

No customization options.


Patient Intake Portal>>Health Information Form: Information Page

Sections indicated with red arrows may be added/hidden by configuring:  Practice>>Settings>>Patients>>Portal Options: Information Page section (see below images).

Practice>>Settings>>Patients>>Portal Options: Information Page section


Patient Intake Portal>>Health Information Form: Visit Page

Sections indicated with red arrows may be added/hidden and customized by configuring:  Practice>>Settings>>Patients>>Portal Options: Visit Page section AND Practice>>Settings>>Patients>>Patient Settings (see below images).

Practice>>Settings>>Patients>>Portal Options: Visit Page section

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Practice>>Settings>>Patients>>Patient Settings

 


Patient Intake Portal>>Health Information Form: Allergies Page

Section indicated with red arrow may be added/hidden by configuring:  Practice>>Settings>>Patients>>Portal Options: Allergies and Adverse Reactions section section  (see below images).

Practice>>Settings>>Patients>>Portal Options: Allergies and Adverse Reactions Page section


Patient Intake Portal>>Health Information Form: Medications Page

Sections indicated with red arrows may be added/hidden and customized by configuring:  Practice>>Settings>>Patients>>Portal Options: Medications Page section  (see below images).

Practice>>Settings>>Patients>>Portal Options: Medications Page section


Patient Intake Portal>>Health Information Form: Surgery Page

Section indicated with red arrow may be added/hidden and customized by configuring:  Practice>>Settings>>Patients>>Portal Options: Conditions Page section  (see below images).

Practice>>Settings>>Patients>>Portal Options: Conditions Page section


Patient Intake Portal>>Health Information Form: Health Page

Sections indicated with red arrows may be added/hidden and customized by configuring:  Practice>>Settings>>Patients>>Portal Options: Health (ROS) Page  section AND Practice>>Charting>>Review Of Systems (see below images).

Practice>>Settings>>Patients>>Portal Options: Health (ROS) Page section

Practice>>Charting>>Review Of Systems


Patient Intake Portal>>Health Information Form: Conditions Page

Section indicated with red arrows may be customized by configuring:  Practice>>Settings>>Patients>>Portal Options: Conditions Page section  (see below images).


Practice>>Settings>>Patients>>Portal Options: Conditions Page section


Patient Intake Portal>>Health Information Form: Habits Page

Sections indicated with red arrows may be added/hidden and customized by configuring:  Practice>>Settings>>Patients>>Portal Options: Social Page section (see below images).

Practice>>Settings>>Patients>>Portal Options: Social Page section

 


Patient Intake Portal>>Health Information Form: Family Page

Sections indicated with red arrows may be added/hidden and customized by configuring:  Practice>>Settings>>Patients>>Portal Options: Family Page section  (see below images).

Practice>>Settings>>Patients>>Portal Options: Family Page section


Patient Intake Portal>>Health Information Form: Finish Page

Section indicated with red arrow may be customized by configuring:  Practice>>Settings>>Patients>>Portal Options: Signature Page section (see below images).

Practice>>Settings>>Patients>>Portal Options: Signature Page section

 

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