Hospital Admission Form Template

Our hospital admission form template is built to streamline patient intake and data collection.

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100% customizable

Works on all devices

Hospital Admission Form Template | Budibase | Low-Code Platform

Delivering patient care requires a huge amount of administrative work. This begins with the admissions process.

Of course, hospital administration can be a massive drain on your finances. This includes day-to-day costs, like employee wages and equipment, as well as hidden costs, such as miscommunication, inefficient processes, and poor information management.

For modern healthcare providers, digitization is crucial. Our patient intake form is built to optimize, automate, and eliminate manual admin workflows.

What is a digital form?

Digital forms are dedicated tools for collecting, storing, and managing data. In healthcare settings, this may include patients’ personal information, admission details, emergency contacts, insurance details, medical history, and more.

The goal is to reduce admin workloads, improve accuracy, and facilitate process automation.

In most hospitals, patients still provide their information using pen and paper. Then, a member of your team manually enters this into your computer system. This leads to a large volume of redundant administrative work.

Hospital Admission Form Template

Why digitize hospital admissions?

Digital transformation cuts operational costs, allowing you to divert resources towards patient care. Even minor inefficiencies in your admissions workflows can create massive expenditure over the long term.

Digital forms provide a basis for process automation, as well as improving accuracy, eliminating risk, and reducing the scope for human error.

By collecting patient data digitally, you can ensure that the correct information is gathered, as efficiently as possible.

What should a hospital admission form tool contain?

Digital patient forms are built around two key elements:

  • A front-end interface for submitting, managing, and accessing admissions data.
  • A back-end data layer for storing patient information.

When patients or team members complete your admissions form, a new entry is created in the back-end database. Your team can also search, access, and manage patient information, using the app’s front-end.

The most effective patient intake tools offer additional functionality for automating workflows, integrating with external tools, improving oversight, and maximizing efficiency.

Our hospital admission form template

Our hospital admission form template is built for maximum usability, efficiency, and automation. Collect, store, sort, and manage patient data, with our free, deployable template.

Choose our digital patient intake form for:

  • Design customization.
  • Conditionality.
  • Automated workflows.
  • Intuitive UI.
  • Custom RBAC.
  • External database support.
  • Responsive design.
  • Optional self-hosting.
  • Third-party app integrations.
  • Efficient and cost-effective processes.
  • Custom data fields.

Budibase is the fast, cost-effective way to build custom tools. Use our template as a deployable solution, or tweak and customize it to fully meet your requirements.

Intuitive, multi-step intake forms

Our template is built around an intuitive, multi-step admissions form. At each stage, users are guided through a specific category of information. For instance, personal details, emergency contact information, medical needs, and consent to terms of treatment.

We’ve provided clear, descriptive labels, ensuring that patients provide accurate information, in the correct format.

With conditional UIs, simple text fields, options pickers, and date selectors, our form interfaces are designed to maximize efficiency during patient intake.

Step 2

Custom data fields

Budibase offers complete customization. Add, remove, or edit data fields, to suit your specific requirements. Use our autogenerated forms to update interfaces to match your new data fields, at the press of a button.

Our leading low-code platform offers a wide range of variables. Add simple text or number fields, options pickers, attachments, date selectors, rich-text, boolean data, relationship pickers, JSON objects, and formula variables.

With Budibase, it’s easy to fully customize your patient intake forms, in a matter of seconds.

Workflow automation

Our template is the perfect platform for automating patient intake workflows. Use any in-app action to trigger Budibase’s vast library of built-in automations. Build custom automation, using handlebars expressions, JavaScript, third-party integrations, and formula variables.

We’ve provided a simple formula variable to determine patients who are under 18 years of old. This facilitates additional data gathering and confirmation of parental consent.

Our template also offers functionality for contacting patients directly, using the mailto: command. Add your SMTP credentials to trigger automated emails from within Budibase tools.

Role-based access control

Budibase offers fully customizable role-based access control. Use any attribute to assign different levels of access to different users. Configure apps screens to be accessible from any permission tier, at the press of a button.

We’ve built our template around two permission tiers. Public users can provide their details by completing your admission form. Your internal team can then search, access, manage, and edit this data.

At Budibase, we empower our users to create the perfect access hierarchies for their needs. Use our custom RBAC to maximize both usability and security, by giving users access to the exact features they need.

Mobile-friendly design

Our hospital admission form template works perfectly on all devices. Design elements automatically scale and resize to fit perfectly on users’ screens. Our components and blocks are also fully tested for key accessibility standards.

Use our template on your internal devices, or allow patients to complete forms on their own phones and tablets.

Budibase is the perfect way to build web applications and internal tools.

Hospital Admission Form

Searchability and dynamic filtering

Manage patient data with our advanced searchability and filtering. We’ve provided a dedicated patient management screen. Use our dynamic filter component to find entries, using any combination of variables.

Use simple equals, starts with, ends with, or numerical expressions to filter and isolate data.

Budibase also offers static formula variables for categorizing data and creating automated taxonomies, with JavaScript and handlebars expressions.

Conditional UIs

Budibase offers powerful conditional UIs. Hide, display, or update any design element based on user data, form inputs, existing form completions, formula variables, and more. Conditionality is the perfect way to create fully optimized patient intake experiences.

We’ve used conditional UIs to update interfaces when patients are under 18 years old. Intake forms are updated to require a parent or guardian’s details. Listings screens are updated to notify users that they’re viewing the details of a minor.

Add conditionality rules to any design component in seconds, using dropdown menus, handlebars, or JavaScript.

Use Budibase for patient intake

At Budibase, we’re on a mission to build the world’s largest ecosystem of open-source tools. With our open-source, low-code platform , you can build fully deployable, custom apps, in as little as five minutes.

Budibase offers:

  • Open-source design.
  • Scalability.
  • Speedy deployment.
  • Custom permissions.
  • Self-hosting.
  • Security.
  • Automation.
  • Integrations.
  • Conditionality.
  • External data support.
  • Total customization.
  • Built-in JavaScript editor.
  • Auto-generated screens.

Budibase is the fast, cost-effective way to build custom software for a range of applications.

Our open-source, low-code platform

Choose Budibase for unrivaled functionality, deployability, and development experiences. Our platform is changing the way organizations build custom tools, forever. Create fully custom healthcare solutions, in as little as five minutes.

We also offer a range of support packages and SLAs for enterprise users. Check out our pricing page for more information.

Patient Management Screen

Self-hosting or cloud deployments

Choose self-hosting or Budibase Cloud for your hospital admission form tool. Deploy Budibase tools to your own infrastructure using Kubernetes, Docker, Docker Compose, Digital Ocean, and more.

With Budibase, you have complete control over how your deploy and host your custom tools.

External data support

Connect our hospital admission form template to a wide range of existing datasets. Budibase offers support for external data, using MySQL, MSSQL, Postgresql, S3, Airtable, MongoDB, CouchDB, Oracle, RestAPI, and more.

Use our template as an intuitive front-end interface for updating, manipulating, and managing a huge variety of external datasets.

Third-party app integrations

Budibase offers a huge variety of third-party app integrations , using Zapier, RestAPI, and more. Connect our hospital admission form to patient management tools, invoicing software, patient records, document management platforms, and more.

Use in-app actions to trigger automations in external tools, for fully streamlined healthcare workflows.


Organizations around the world trust Budibase to secure their critical data. Our open-source platform offers a number of unique security features. Use optional self-hosting, custom RBAC, and more to protect sensitive patient data.

Budibase users enjoy free SSO across all of their tools, as well as support for OAuth and OpenID. Choose the exact right authentication standards for your specific needs.


Healthcare providers constantly face new and emerging challenges. Hospitals must respond to changing technology, shrinking budgets, and an aging population. Your software stack needs to evolve to meet these new challenges.

With Budibase, you can add new users, functionality, data, and app screens in minutes. Say goodbye to waiting for the features you need to meet your current challenges.

Start using Budibase today

At Budibase, we’re revolutionizing the way organizations build internal tools . With our open-source, low-code platform, you can build fully bespoke software, in as little as five minutes.

To start using our hospital admission form template, simply click below.

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