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 December 8, 2025
  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. Canadian Chiropractic Protective Association - Consent to Chiropractic Treatment
  18. Carpal Tunnel Syndrome Questionnaire (CTSQ)
  19. Childhood Autism Spectrum Test (CAST)
  20. COPD Assessment Test (CAT)
  21. COVID-19 Assessment
  22. CPSA Practice Readiness Assessment Patient Consent
  23. Eating Disorder Diagnostic Scale
  24. Electronic Consent
  25. EQ-5D-5L
  26. Fitzpatrick Skin Type Tester
  27. Food Allergy Quality of Life Questionnaire - Parent Form (FAQoL-PF) for Children 0-3
  28. Food Allergy Quality of Life Questionnaire - Parent Form (FAQoL-PF) for Children 4-6
  29. Food Allergy Quality of Life Questionnaire - Parent Form (FAQoL-PF) for Children 7-12
  30. GAD-7
  31. Generic Vaccine Consent Form
  32. Get Active Questionnaire
  33. Headache Impact Test (HIT-6)
  34. Influenza (Flu) Vaccine Consent Form
  35. LEFS
  36. Mood Disorder Questionnaire
  37. Neck Bournemouth Questionnaire
  38. Oral Immunotherapy Gastrointestinal (OIT GI) Questionnaire
  39. PaCT Care Plan
  40. Pain Catastrophizing Scale
  41. Pain Rating Scale
  42. ParQPlus2022
  43. Patient Rated Wrist Evaluation
  44. Pediatric Symptom Checklist-17 (PSC-17)
  45. Pediatric Symptom Checklist-17 (PSC-17) - child
  46. PHQ-9 modified for Adolescents (PHQ9A)
  47. QuickDASH Outcome Measure
  48. Rheum Info Health Assessment Questionnaire-II (HAQ-II)
  49. SCARED - Child Version
  50. SCARED - Adult Version
  51. SCAT 5 - Step 2: Symptom Evaluation
  52. SNAP-IV 26
  53. STOP-Bang Questionnaire
  54. The Burns Anxiety Inventory
  55. The Migraine Disability Assessment Test
  56. The Patient Health Questionnaire (PHQ-9)
  57. Vanderbilt AHDH - Parent
  58. Visual Analogue Scale - Hand/Wrist
  59. Wender Utah Rating Scale for ADHD
  60. WOMAC Pain Score for OA
  61. Zung Anxiety Assessment Tool
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