Mira Intake

Paperwork done before they arrive.

Digital patient intake built for orthopedic practices. Forms on the patient's phone. Insurance auto-verified. EMR pre-populated. The chart is ready when they walk in.

Pre-visit Chart ready
Auto Eligibility
12+ Languages

Patient Intake Flow

01
Patient receives SMS link
02
Completes forms on phone
03
Insurance auto-verified
04
EMR pre-populated
05
Patient arrives — chart ready
Capabilities

Intake built for orthopedic practices.

Not a generic form tool. Every capability is designed for the specific intake patterns of an orthopedic clinic.

Ortho subspecialty ready

Ortho-Native Form Builder

Pre-built intake templates for every orthopedic subspecialty. Body diagram pain localization, surgical history capture, implant questionnaires, and workers' comp flows out of the box.

0 staff re-entry

EMR Pre-Population

Patient responses flow directly into your EMR fields. Demographics, insurance, medications, allergies, and surgical history — no manual re-entry by staff.

Auto eligibility check

Pre-Visit Eligibility

Insurance verification runs automatically when the patient submits their form. Flags authorization requirements before the appointment so your team can act early.

12+ languages

Multi-Language

Forms auto-translate into 12+ languages based on patient preference. Responses are stored in English for clinical use — no bilingual staff required.

Digital consent capture

Consent & E-Signature

HIPAA acknowledgment, informed consent, financial policies, and practice-specific documents — all collected and signed digitally before the visit.

Pre-visit chart ready

Photo & Document Upload

Patients capture insurance cards, referral letters, prior imaging reports, and medication lists on their phone. Everything attached to the chart before they arrive.

Subspecialty

Pre-built templates for every ortho subspecialty.

A sports intake form doesn't look like a spine intake form. Mira ships with templates configured for each subspecialty — you customize from there.

Every subspecialty asks different questions. A sports patient needs activity level, mechanism of injury, and prior imaging. A joint replacement patient needs comorbidity screening and prior implant history.

Mira ships with intake flows for every major orthopedic subspecialty, including workers' comp and pediatric patterns. Every template is fully customizable per provider and per clinic.

Sports Medicine
Hand & Upper Extremity
Spine
Total Joint
Foot & Ankle
Trauma
Pediatric Ortho
Shoulder & Elbow
Workers' Comp
Integration

Flows into your EMR.

Patient responses populate the right EMR fields automatically. No copy-paste. No double-entry.

Epic
Athena
ModMed
eClinicalWorks
Greenway
DrChrono
Any EMR

Works Better Together

Pair Intake with AI Concierge for full front-desk automation.

Concierge schedules the appointment and sends the intake link. Intake collects the paperwork and verifies insurance. The chart is ready before the patient walks in.

Learn about AI Concierge →
Get Started

The chart is already done.

See how orthopedic practices eliminate pre-visit paperwork, verify insurance automatically, and start every visit with a ready chart.