ON THE ROAD · Meet QliqSOFT at Florida Hospice & Palliative Care Association, Orlando, FL →NEW SITE · We rebuilt qliqsoft.com. Current customers: browse it and grade our work → CUSTOMERS: SIGN IN NOW LIVES IN THE TOP BAR →NEW · RPAplus agentic EMR integration: connected even without an API →NOW PUBLIC · How our pricing works: per staff, per patient, published in full →SINCE 2011 · 1,000+ healthcare organizations run on QliqSOFT →ON THE ROAD · Meet QliqSOFT at Florida Hospice & Palliative Care Association, Orlando, FL →NEW SITE · We rebuilt qliqsoft.com. Current customers: browse it and grade our work → CUSTOMERS: SIGN IN NOW LIVES IN THE TOP BAR →NEW · RPAplus agentic EMR integration: connected even without an API →NOW PUBLIC · How our pricing works: per staff, per patient, published in full →SINCE 2011 · 1,000+ healthcare organizations run on QliqSOFT →
Trust CenterSystem Status
Platform / Quincy / Digital Forms

HIPAA-Compliant Forms & Patient Intake Software

Forms patients finish. Data you can act on.

Quincy Forms: HIPAA-compliant digital forms delivered by text and completed on any phone, intake packets, assessments, histories, and post-visit surveys that flow straight into your workflows instead of a scanning queue, with automated scoring that routes unhappy and happy clients alike, the day of the visit.

HIPAA COMPLIANT SOC 2 TYPE II
A form's life, digitized
DeliveryBY TEXT · ANY PHONE
Known dataPREFILLED FROM EMR
Signatures & photosCAPTURED IN-FORM
CompletionPATIENT'S OWN TIME
FormatSTEP-BY-STEP WIZARD
LanguageTHEIRS, AUTOMATICALLY
Data capturedSTRUCTURED, NOT PDF-TRAPPED
Scored elementsCLASSIFY ON SUBMIT
How it works

From paper packet to smart form.

1

Build once

Convert intake packets, histories, and assessments into mobile-first forms, with conditional logic, scored elements, and EMR prefill mapped to the fields you already hold.

2

Send by text

The form opens as a step-by-step wizard in the patient's own language, one question at a time with a progress bar, not a wall of fields. No printing, no clipboard, no waiting-room scramble.

3

Data flows

Responses arrive structured, filed to the thread, routed by score, and ready for your systems instead of manual re-keying.

Why it matters

Paper forms are where data goes to die.

Handwritten packets get transcribed, misread, and filed as images. Digital forms capture structured, legible, actionable data the moment the patient taps submit, and scored elements triage the responses instantly.

  • Higher completion, a wizard experience, in their own language, on their own time
  • Scored elements classify responses on submission, routine files itself, concerning escalates
  • Structured data ends transcription errors and re-keying
  • Every form documented to the patient's thread, audit-ready
"We stopped paying people to re-type what patients already told us."Director of Operations
Forms, before & after
Intake packet completionAT THE VISIT → BEFORE THE VISIT
Handwriting interpretationGUESSWORK → GONE
Data entryMANUAL RE-KEY → STRUCTURED FLOW
Concerning answersFOUND LATER → FLAGGED ON SUBMIT
The fastest question is the one you never ask

Prefilled from the EMR. Pruned by conditional logic.

The most burdensome form is the one that asks what you already know. Quincy prefills every field the EMR can answer, demographics, medications, insurance, history, so the patient validates and updates only what’s missing or changed. And conditional logic hides every question that doesn’t apply: answer "no current medications," and the medication section simply never appears.

  • Validate, don’t re-type, known data arrives prefilled from the EMR via bi-directional integration; MGMA finds the average practice has 4 to 6 redundant intake steps, most of them re-collecting data the system already holds
  • Dramatically shorter forms, conditional logic shows each patient only the questions their answers make relevant, cutting perceived length and form fatigue for the majority
  • Minutes, not half-hours, benchmark check-in runs 25 to 35 minutes for new patients; digital pre-registration with prefill cuts it to 5 to 8, and returning patients to 2 to 4
  • Changed-data capture, returning patients see what’s on file and flag what’s different, so medication and insurance changes surface instead of hiding in re-typed noise
  • Cleaner claims, registration typos drive denials, and most form errors concentrate in address and insurance fields; validated data beats transcribed data every time
  • Proven in hospice: Walla Walla Community Hospice cut patient intake time by 30% with chatbots and secure texting
  • The demand is already there, 72% of patients want digital pre-visit intake; only 28% of practices offer it. Be the practice that does
"Intake went from twenty minutes of typing to two minutes of confirming. The patients noticed before we did."Intake Coordinator
Data collection, minimized
Fields the patient must typeALL OF THEM → ONLY MISSING & CHANGED
"Date of birth?", againEVERY FORM → PREFILLED ✓
Irrelevant follow-up questionsALL SHOWN → HIDDEN BY LOGIC
Staff re-keying into the EMREVERY SUBMISSION → FLOWS BACK STRUCTURED
Time to complete intake25 to 35 MIN → MINUTES
The survey that can’t wait for CMS

Post-visit pulses: hear it today, not in next quarter’s CAHPS.

CAHPS tells you how last quarter felt, months after the visits, far too late for the family who had a bad Tuesday. Scored post-visit surveys by text capture the experience while it’s still fresh, and the score routes both tails of the distribution the moment they answer: concerns to your team for same-day recovery, delight to a review invitation.

  • Real-time beats recall, mailed surveys draw single-digit response rates; text pulses get answered while the visit is fresh, before memory fades
  • Unhappy → service recovery within 24 hours, industry benchmarks show recovery protocols retain roughly 60% of dissatisfied patients who would otherwise quietly leave
  • Review invitations go to every family at consistent milestones (never gated by pulse scores, per Google and FTC rules), while the pulses quietly power your service recovery
  • Every point matters, a few absolute points on experience scores can swing dozens of percentile-rank positions; fix issues on your pulses before the survey that counts
  • Continuous QAPI signal, per-team, per-week trend lines instead of one aggregate number a quarter later
"CAHPS tells us how we did last quarter. The pulses tell us who needs a call today."Director of Patient Experience / QAPI
The feedback loop, re-timed
Hearing about a bad visitNEXT QUARTER → SAME DAY
Dissatisfied client’s pathQUIET CHURN → ~60% RETAINED VIA RECOVERY
Every family’s voiceUNASKED → INVITED, COMPLIANTLY
Survey response rateSINGLE DIGITS → FRESH & HIGH BY TEXT
QAPI signalANNUAL AGGREGATE → CONTINUOUS, PER TEAM
Designed for the hands that hold the phone

Built to be finished, by an 82-year-old thumb, in any language.

Industry benchmarks put healthcare form abandonment near 68%, and the patients home-based care serves are exactly the ones long forms fail: older adults with limited vision and dexterity, and the roughly 26 million Americans with limited English proficiency. Quincy’s forms attack every abandonment mechanism at once: a step-by-step wizard instead of a wall of fields, mobile-first single-column design, and automatic translation into the language the patient or caregiver actually thinks in.

  • Step-by-step wizard, one question at a time with a progress bar; studies show breaking long forms into steps can lift completion dramatically, with multi-step designs converting up to 300% better than single-page walls
  • Auto-translated end to end, the questions render in the patient’s or caregiver’s native language, and answers come back to you in yours; no household guessing games, no wrong medication data
  • Mobile-first by design, over 60% of patients complete forms on smartphones, where badly designed forms are abandoned 20%+ more often; large touch targets and single-column layout are the difference
  • Text enlarges up to 2x, one tap, and every question renders larger without breaking the layout. That’s WCAG’s 200% accessibility standard, built in for the population that needs it: significant vision impairment affects more than 20% of adults 85 and older
  • Fatigue-aware sequencing, easy questions first, sensitive ones later; because questions at the end of long forms get lower-quality answers, and a "complete" form with an unusable med list helps nobody
  • Nothing lost mid-form, patients can pause and pick up where they left off, on their own time
"Our completion rate didn’t move because patients changed. It moved because the form finally respected them."Director of Patient Experience
Why forms die, and how these don’t
Wall of 20 fields on a phoneABANDONED → ONE STEP AT A TIME
English-only intake packetGUESSED AT → THEIR LANGUAGE, AUTO
Tiny checkboxes, aging eyesMISTAPPED → BIG TARGETS, ONE COLUMN
Letters too small to readSQUINTING → ONE TAP · UP TO 2X
Question 19 of 20JUNK ANSWER → FRESH, PACED IN STEPS
Healthcare form abandonment~68% INDUSTRY → FINISHED
Capture more than answers

The camera is the scanner. The finger is the pen.

Forms that stop at text fields still leave paper behind: the insurance card someone photocopies, the consent someone prints to sign. Quincy forms capture both natively. Signature fields are signed with a fingertip inside the form, and photo fields turn the patient’s camera into a document scanner for insurance cards, IDs, medication lists, and anything else intake needs.

  • Signature fields in any form: consents, acknowledgments, and agreements signed inline as part of the same flow, powered by the same engine as Quincy eSign
  • Photo upload fields: insurance cards (front and back), IDs, medication lists, and documents captured straight from the camera and filed to the patient’s record
  • A photographed card cannot be mistyped: registration and eligibility errors cause 27% of all claim denials, and transposed member IDs are the classic culprit
  • Denial math worth avoiding: reworking a denied claim costs $25 for practices and up to $181 for hospitals (AHIMA), and 50 to 65% of denied claims are never reworked at all, which makes front-end typos permanently lost revenue
  • One flow, no detours: no printer, no photocopier, no "bring your card to the first visit," and nothing for the front office to transcribe
"The insurance card photo ended our transposed-member-ID denials in a month."Revenue Cycle Manager
Paper’s last hiding places, digitized
Insurance cardRE-TYPED → PHOTOGRAPHED · ATTACHED
Consent signaturePRINT · SIGN · SCAN → SIGNED WITH A FINGERTIP
Transposed member IDDENIED CLAIM → CAN’T MISTYPE A PHOTO
Rework per denied claim$25 TO $181 → AVOIDED UP FRONT
Where it all landsSTAPLED SOMEWHERE → THE PATIENT’S THREAD
Part of Quincy

One capability of a connected system.

Used across home-based care

Thirty minutes, digital forms, live in the product.

Common questions

Digital Forms, answered.

Can our existing forms be converted?

Yes, intake packets, histories, questionnaires, and assessments become mobile-first digital forms, with logic and scoring added where useful.

How do scored forms work?

You assign values to answer choices; submissions classify instantly, clear, follow-up, or escalate, and route accordingly.

Can forms capture signatures and documents?

Yes. Signature fields let patients sign consents and acknowledgments with a fingertip inside the form itself, and photo upload fields capture insurance cards, IDs, medication lists, and documents directly from the camera. Everything files to the patient’s record, and card images stay available for staff verification and eligibility checks, so nobody re-types a member ID from a photocopy again.

How does EMR prefill work?

Through bi-directional EMR integration (HL7, FHIR, ADT), fields the record can answer arrive pre-populated, demographics, medications, insurance, history. The patient reviews, confirms, and edits only what’s missing or changed, and the validated updates flow back to your systems as structured data. Where an EMR’s APIs are limited, prefill runs through RPAplus agentic integration or scheduled SFTP/CSV loads instead. No re-typing on either side of the form.

How do you get older patients to actually finish forms?

By removing the reasons they quit: the step-by-step wizard shows one question at a time with a progress bar (no overwhelming wall of fields), the mobile-first single-column layout uses large touch targets that work for limited vision and dexterity, text enlarges up to 2x with one tap (WCAG’s 200% standard) without breaking the layout, forms auto-translate into the patient’s or caregiver’s native language, and progress saves so an interruption never means starting over.

Can post-visit pulse surveys replace CAHPS?

No, and they shouldn’t try. Official CAHPS surveys are administered under CMS rules by approved vendors, and internal surveys must not duplicate the instrument or attempt to influence responses. Scored pulses are internal quality-improvement tools: they let you hear and fix problems months before they would surface in official scores. Confirm your survey program’s design with your CAHPS vendor and compliance counsel.

Is the data available to our other systems?

Structured responses can flow to your workflows and systems via integration, no PDF-trapped data.

What is staying put costing you?

Your intake-time bill, in 20 seconds.

Benchmarks: check-in runs 25 to 35 minutes without digital pre-registration, 5 to 8 with it (MGMA).

ANNUAL VALUE OF RECLAIMED INTAKE TIME
$0
Estimates from published industry benchmarks; every figure is documented on our Data & Sources page. Your demo replaces estimates with your numbers.

Retire the clipboard.

See mobile-first forms with scoring and routing, from send to structured data.

Trusted by 1,000+ healthcare organizations since 2011