Intelligent intake for orthopedic private practice. Returning patients confirm what you already know; everyone gets a short, dynamic form with only the questions this visit needs — coverage checked in real time, reminders by text and email, and a clean PDF into your EHR.
From the link they tap to the chart you open
Never twice
Dynamic form
Fewer denials
Fewer no-shows
Clean PDF
Your practice's branding, not ours — and returning patients open it already filled in.
Every generic intake tool collects answers and stops. The expensive part — the clinical and administrative work — still lands on the people you pay.
Mira closes all four.
That's the difference between buying a form and buying intake software.
Front-desk hours lost to double data entry — and a fresh chance to fat-finger a date of birth or an allergy on every chart.
A wrong member ID or an expired plan becomes a rejected claim weeks later — found long after it was cheap to fix.
Half-finished submissions mean clipboards at check-in anyway, more phone calls, and a thinner history for the visit.
Returning patients re-enter the same demographics, insurance, and history they gave last quarter. Nothing carries over, so nothing gets faster.
FMLA certifications, disability-carrier forms, workers' comp paperwork — they arrive as someone else's PDF, and today a staffer fills them in by hand, one blank at a time. Upload one to Mira instead — even a crooked scanned fax — and AI maps everything the patient has already given you onto it: every form they've completed, their intake answers, the chart. The form comes back done — your team glances, signs, sends.
How a fill works
Digital or scanned — Mira reads the layout, finds every fillable blank, and even titles and files the form for you. No template setup.
Every form this patient has ever completed becomes source material — intake answers, prior fills, the chart, uploaded documents. Mira maps it all onto the new form's blanks. The rare thing it can't source is flagged, never guessed.
Usually there are one or two judgment calls left. Your saved signature drops in, and the finished PDF renders on the original form — ready for the carrier or employer.
$5 per completed form — billed only when you use it, with a ledger of every fill. No per-seat upsell, no module to license.
Teach it once. Adjust a box on a new form and Mira remembers the layout for every future fill of that form — the second Hartford packet opens ready to review.
Generic builders look cheap until HIPAA — then they cost real money and still stop at the answer. Phreesia has real depth but enterprise weight. Only Mira carries the record across visits, verifies coverage, and writes back into your chart — light enough for a private practice.
vs. Jotform
A form builder where HIPAA alone runs about $200 a month — and it still just collects answers and stops. No eligibility, no reminders, nothing carries to the next visit.
vs. Typeform
The best-looking form on the market, and built for surveys, not clinics. No eligibility, no EHR, no record that follows the patient.
vs. Phreesia
Enterprise intake built for health systems, with the rollout and price to match. Mira gives a private practice the same depth — cheaper, lighter, and with payer-form filling Phreesia doesn't have.
Competitor capabilities reflect publicly available information and change over time; confirm current offerings with each vendor.
No ninety static fields. The patient describes the problem in plain language, and Mira asks only the clinically pertinent follow-ups — along pathways your own providers author. Shorter for the patient, higher-signal for you.
Patient says
“My right knee gives out when I go down stairs.”
“My right shoulder has been aching since I fell skiing two weeks ago…”
Have you had any imaging yet — and does it ache at night?
They talk, or type. Only the pertinent follow-ups come back.
And the moment they submit
The card is captured and benefits checked the moment they submit — prior-auth and copay flagged days before the visit, while there's still time to act.
Each answer lands in the right field of the record — no one re-types a thing — and prints as a clean PDF that matches the exact forms your clinic already uses.
What they entered carries to the next visit — and across every practice on Mira — so next time they confirm what you know instead of starting over.
Describe a form in a sentence and watch it build itself. Or photograph the paper form on your clipboard and Mira rebuilds it — same questions, same sections, now digital. There is no form-builder to learn.
Most rejected claims start at the front desk — a wrong member ID, an expired plan, a missed prior auth. Mira runs real-time eligibility and benefits the moment the patient submits, days before the visit, so your team fixes problems while there's still time to fix them.
A single manual eligibility check can take a staffer 10–15 minutes on the phone. Mira runs one for every patient automatically — and re-checks before the appointment.
On submit
The patient photographs their card; member ID, group, and payer fill in automatically — no squinting, no typos.
Minutes later
Eligibility and benefits run automatically — no staffer on hold with a payer to confirm a plan.
Before the visit
Prior-authorization requirements flagged and the copay known while there’s still time to act on them.
Day of visit
The desk confirms a number instead of starting a claim it will have to rework later.
Most of the patients walking in today have been to your practice before. They shouldn't fill out the whole form again — and with Passport, they don't.
A code by text or email verifies identity in seconds — no account, no password.
Demographics, insurance, medications, and history pre-filled from what they’ve already given.
They check what changed since last time, and move on.
Their record carries across visits — and across every practice on Mira. The longer you use Mira, the less intake there is to do.
Your real forms, rendered exactly — your logo, your layout, signatures and all. Surgery reservations, workers’ comp, clearance letters, referrals. Not a generic export.
Reminders go out by text and email before the appointment, each with a one-tap link back to the exact form. Patients reply STOP any time.
Patients who’d rather speak just say their answers, and they land as structured fields — hands-free for the post-op patient in a sling.
Patients who can’t finish in one sitting pick up exactly where they left off from a link — so forms get completed, not abandoned.
Hand a patient the clinic iPad and it wipes clean for the next one. Shared device, zero data bleed between patients.
Tell Mira what you need — “new-patient rotator cuff intake” — and the form is built in seconds, the right fields and all. No form-builder to learn.
Pick the procedure and Mira proposes anesthesia, positioning, implants, and pre-op orders. Your team confirms instead of building each one from scratch.
Patients mark the pain on a body diagram instead of describing it — localized and structured, straight into the chart.
Intake data lands in the patient record automatically — no copy-paste, no double-entry — and every record is handled to clinical privacy standards.
HIPAA-grade by design, backed by a signed Business Associate Agreement — not a paid checkbox.
AI runs on a private, walled model. Patient data is never used to train models.
Patient data is encrypted end to end, and every staff view of a record is logged.
See what Mira takes off your front desk — patients who never re-enter what you already know, a dynamic form that asks only what each visit needs, real-time coverage, and a clean PDF into your EHR. Built for orthopedic private practice.