Intake Form Library

Intake Form Library

Intake Form Library

Healthquest has an extensive list of intake forms that are available to all clinics that utilize the feature. The list of public intake forms is below, new forms are added often, so check back regularly. 

Public Intake Forms

*Updated September 9, 2026
  1. ADHD Rating Scale IV - Preschool Version
  2. ADHD RS-IV with Adult Prompts
  3. Adolescent Autism Spectrum Quotient (AQ)
  4. Adult ADHD Self Report
  5. AHS Database 1 and 2
  6. AI Scribe Patient Consent
  7. Alberta Prenatal Record - Page 1
  8. Asthma Control Test (ACT)
  9. Back Bournemouth Questionnaire
  10. Bath Ankylosing Spondylitis Disease Activity Index (BASDAI)
  11. Beck's Anxiety Inventory
  12. Beck's Depression Inventory
  13. Behavior Rating Inventory of Executive Function (BRIEF) - Adult Version
  14. Brief Michigan Hand Outcomes Questionnaire (Brief MHQ)
  15. Brief Pain Inventory
  16. Burn's Depression Checklist
  17. CAGE Assessment for Alcohol Abuse
  18. Canadian Chiropractic Protective Association - Consent to Chiropractic Treatment
  19. Carpal Tunnel Syndrome Questionnaire (CTSQ)
  20. Childhood Autism Spectrum Test (CAST)
  21. Consent to the Disclosure of Individually Identifying Health Information
  22. COPD Assessment Test (CAT)
  23. COVID-19 Assessment
  24. CPSA Practice Readiness Assessment Patient Consent
  25. Eating Disorder Diagnostic Scale
  26. Electronic Consent
  27. EQ-5D-5L
  28. Fitzpatrick Skin Type Tester
  29. Food Allergy Quality of Life Questionnaire - Parent Form (FAQoL-PF) for Children 0-3
  30. Food Allergy Quality of Life Questionnaire - Parent Form (FAQoL-PF) for Children 4-6
  31. Food Allergy Quality of Life Questionnaire - Parent Form (FAQoL-PF) for Children 7-12
  32. GAD-7
  33. Generic Vaccine Consent Form
  34. Get Active Questionnaire
  35. Headache Impact Test (HIT-6)
  36. Influenza (Flu) Vaccine Consent Form
  37. LEFS
  38. Mood Disorder Questionnaire
  39. MQ6 Menopause Assessment Tool
  40. Neck Bournemouth Questionnaire
  41. Oral Immunotherapy Gastrointestinal (OIT GI) Questionnaire
  42. PaCT Care Plan
  43. Pain Catastrophizing Scale
  44. Pain Rating Scale
  45. ParQPlus2022
  46. Patient Rated Wrist Evaluation
  47. Pediatric Symptom Checklist-17 (PSC-17)
  48. Pediatric Symptom Checklist-17 (PSC-17) - child
  49. PHQ-9 modified for Adolescents (PHQ9A)
  50. QuickDASH Outcome Measure
  51. Rheum Info Health Assessment Questionnaire-II (HAQ-II)
  52. SCARED - Child Version
  53. SCARED - Adult Version
  54. SCAT 5 - Step 2: Symptom Evaluation
  55. Scribeberry AI Consent Form
  56. SNAP-IV 26
  57. STEDT - Patient Consent Form
  58. STOP-Bang Questionnaire
  59. The Burns Anxiety Inventory
  60. The Cannabis Use Disorder Identification Test - Revised (CUDIT-R)
  61. The Migraine Disability Assessment Test
  62. The Patient Health Questionnaire (PHQ-9)
  63. Vanderbilt AHDH - Parent
  64. Visual Analogue Scale - Hand/Wrist
  65. Wender Utah Rating Scale for ADHD
  66. WOMAC Pain Score for OA
  67. Zung Anxiety Assessment Tool

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