Patients complete their paperwork before the visit.
Modulon texts each patient a short form after booking. Answers, insurance cards and signed consents go into your EHR, so your front desk doesn't retype them.
Five short steps on the patient's phone.
The form takes about 5 minutes. Patients can stop and come back to it from the same link.
Step 1 of 5
Your details
NameDaniel MoralesDate of birth03/18/1979Phone(612) 555-0147PharmacyWalgreens, Lake St1 · Your details
Step 2 of 5
Insurance card and ID
HealthPartners
HP4471-0938
Photo ID2 · Insurance card and ID
Step 3 of 5
Medications and allergies
Clobetasol 0.05%Doxycycline 100 mgLisinopril 10 mgAllergiesPenicillin3 · Medications and allergies
Step 4 of 5
Medical history
AsthmaHigh blood pressureDiabetesPrior surgery4 · Medical history
Step 5 of 5
Consents and signature
Treatment consentPrivacy noticePhoto consentD. Morales5 · Consents and signature
- Clobetasol 0.05% ointmentStill taking
- Doxycycline 100 mgStopped
- Added: Lisinopril 10 mgNew
Address, insurance and pharmacy unchanged
Returning patients only confirm what changed.
Modulon fills in the form from the chart. The patient checks it, and only the changes are written back.
Anything unclear goes to your team before the visit.
Modulon flags fields it could not read with confidence for a person to check, and reminds patients who haven't finished.
Check member ID
Front desk · TodayRead as HP4471-0938, low confidence
Form reminders · Daniel Morales
- Oct 1Form sent
- Oct 6Reminder sent
- Oct 7Completed
Patients who haven't finished get a reminder by text with the same link.
Answers go straight into your EHR.
Completed forms are written to the patient's record in your EHR. Insurance from the card is checked with the payer through Stedi.
Sent by text after booking
- Reads answers and cardsCoverage checked with
- EHR
Written to the patient's record
Frequently asked questions
About 5 minutes on a phone. Patients can stop and return to it from the same link.
Yes. Your practice chooses the questions and consents for each visit type.
Your front desk can complete it with them at check-in, and the answers go to the same record.
Yes. We sign a business associate agreement before we handle any patient information, and patient data is encrypted.
Something else? Ask us directly.