HOW IT WORKS

1

SIGN UP AND PAY $49

Want Spanish versions of your forms too? Add them for $10, one time.

2

PICK OUR FORMS OR SEND YOURS

Pick from our ready forms with a tap. Or send your own: PDF, Word, or a phone photo of the paper, and we turn them into smart online forms for you.

3

SEND EACH PATIENT A LINK

Their finished forms save to your computer by themselves, with a free Chrome extension.

WHAT YOUR PATIENTS SEE

Works on a phone or an iPad. Nothing to install.
Big buttons that are easy to tap.
Exam checklists stay checklists: a tap grid, one tap per box.
They sign with a finger or by typing their name.
English, and Spanish if you add it.
Questions about an accident only show up when they apply.

Tap to play: 11 seconds on a phone. Sample practice; the name and answers are made up.

NOTHING GETS LOST

A patient's answers are saved as they type. If the page closes, the same link opens right where they stopped.
A big button stays at the bottom of the screen the whole time: Next, then FINISH on the last page.
If a patient stops partway, you still receive what they filled in, as a PDF marked PARTIAL. When they finish, the finished form replaces it.
Your Forms page shows the forms that are In progress. Tap one to reopen it on the tablet, and the patient carries on.

PRICE

$49 a month

No setup fee. We convert your forms for you.

Spanish versions: optional, $10 one time.

First charge: $49, or $59 with Spanish.

Month to month. No contract. Cancel any time.

HOW WE COMPARE

	ChiroUnchained Forms	IntakeQ	JotForm (HIPAA)
Who builds your forms	We do: pick from our ready forms, or we convert yours	You build them, or pay IntakeQ to convert them	You build every form yourself
Cost to get your own forms online	Included in $49 a month. No setup fee	$9 per page, $50 and up for scanned forms, 2 to 4 business days	Needs the Gold plan, then you build the forms
Spanish	Optional: we make them, $10 one time	Not offered as part of conversion	You translate
Where finished forms end up	Saved to your computer by themselves (free Chrome extension)	You download them	You download them, or connect storage yourself

IntakeQ and JotForm details as published on their sites, October 2026: IntakeQ form conversions, IntakeQ getting forms to clients, JotForm HIPAA setup, JotForm HIPAA FAQ.

WHAT WE KEEP, AND FOR HOW LONG

Your finished forms are saved to your own computer by a free Chrome extension, in a folder called ChiroUnchained Forms inside your Downloads folder. We delete our copy 7 days after it is saved. You keep the record.
A form that is never saved to your computer is kept for 90 days and then deleted. We e-mail you on day 60, 75, 85 and 89 first. The e-mails never name a patient.
If you cancel, you can download everything for 30 days after your plan ends. We delete nothing in those 30 days. Then we delete everything.

QUESTIONS

Do I need to install anything?

Only a free Chrome extension, added in one click, on the computer where you want the forms saved. Your patients install nothing.

Does it work on an iPad or phone for patients?

Yes. Patients open the link on a phone, an iPad or a computer. Exam checklists show as a tap grid.

What if a patient stops halfway?

You still receive what they filled in, as a PDF marked PARTIAL, saved to your computer by the same Chrome extension. When the patient finishes, the finished form replaces it. You can also see the form under In progress on your Forms page and reopen it on the tablet.

Do I have to send you my forms?

No. You can pick from our ready forms, or send us your own, or both.

Can you convert my forms?

Yes, that is included. Send us your blank forms (PDF, Word or a phone photo). Please never send a filled-in form.

What about HIPAA?

A HIPAA agreement is included. We act as your business associate. You read and accept the agreement before you pay.

What if I cancel?

E-mail us to cancel. Your forms keep working until the end of the month you paid for. You then have 30 days to download everything, and after that we delete it all.

Who do I contact?

E-mail [email protected].

READY WHEN YOU ARE

Get started - $49 a month

No setup fee. Cancel any time. HIPAA agreement included.

YOUR OWN FORMS.ONLINE. DONE FOR YOU.