Pre-admission forms, texted and signed
Intake forms signed
before admit day
RehabSignal turns your rehab intake form into a text for US addiction treatment centers: the coordinator sends it during the screening, and the person fills it in on a phone, signs your consent and adds photos of the ID and insurance card.
- Every signature dated, then stored as a PDF
- Card photos to your billing team
Live in 14 daysMonth to month, no setup fee
- Your paper packet, rebuilt
- Sent when admit is scheduled
- Coordinators see every answer
- Consent signed with a fingertip
- Deposit link after signing
- HIPAA mode
At 11:05 p.m. on Friday, a parent calls with the person who wants help sitting close by. The screening goes well, and admit is set for Monday at 10:00. The coordinator emails a 14-page PDF nobody can fill in on a phone, so the client spends Monday morning bent over a clipboard in the lobby.
A clipboard at reception
Sent by text, signed tonight
A text, a link and a few short pages
Which form, when
Three moments, three sets of pages
A form goes out as the card reaches each stage.
A short pre-screening form sits on every program page we build. Filled in at 1:00 a.m., it makes a card with the page as its source and rings the on-call phone, inside the hours you set.
When the coordinator marks the card Screened, the pre-admission form and your consent pages go out by text from your center's number. The answers appear in the record the coordinator already has open.
Setting the admit date sends the rest of your set: house rules, the release forms your center uses and anything else from the paper packet. Each is signed through the same text link and filed next to the first.
Once it's sent
After the form comes back signed and complete
Your paper packet
Rebuilt by us
Send us the packet your front desk hands out today, every page, as a scan or a phone photo. Our team rebuilds it as phone forms in your own wording, splits it into the pre-screening and pre-admission parts, and sets which stage sends each one. It comes inside the monthly fee.
- Your consent pages keep the exact words your counsel wrote
- Adding a field needs just a note to us
Admissions team
Every answer on the inquiry's record
When a form comes back, the answers sit on the inquiry's record beside each call and text so far, with the signed PDF next to them. The coordinator who owns the card gets a task to look it over before admit day.
- Coordinators read each answer without opening a file
- A returning caller's form joins the existing record, not a duplicate
Consent first
Consent signed at first contact
The first form asks for consent once, at first contact, with a signature box and a separate box for texts. Your counsel writes the wording, and we place it word for word. Texts, calls, recordings and forms run in HIPAA mode, under a BAA your center signs with us.
- Each consent records the minute it was signed
- No text goes out until the person ticks the texting consent box
Billing
Card photos go straight to billing
The last page opens the camera for the front and back of the ID and the insurance card. Your billing contact gets an alert, opens the record and takes it from there, the way your center does now. For self-pay, a deposit link can follow by text.
- The billing contact hears about it as soon as the photos are in
- For self-pay, a deposit link can follow in the next text after signing
Also included
- Forms on your center's site
- Signed PDFs on each record
- Admit export with each PDF
- A separate consent box for texts
- Fields changed whenever you ask
- Forms sent at each pipeline stage
Each signed form, filed beside the call notes
Open the record of someone admitting Monday, and the signed pre-admission form sits beside the screening call's notes, the texts since Friday and the card photos. The PDF goes with the admit export your admissions team brings into your record system.
Consent, signed Friday 11:22 p.m., signed on a phone, PDF saved, billing contact alerted.
Form signedForms work with
- Reporting Each admit counted by the ad, page or partner behind it.
- Phones The coordinator sends the form mid-call from the caller's record.
- Website Every program page we build carries the pre-screening form, with no ad pixels.
- Pipeline stages Moving a card to Screened or Admit scheduled sends the form for that stage.
- Ads Once your center holds LegitScript certification, ads in its own accounts lead to the short form, with no pixel on the confirmation page.
- Messaging Questions about a form come back by text to your admissions inbox.
- Reviews The review box on the form decides who gets a request after discharge, never during care.
Send us your paper packet
Scan or photograph the packet your front desk uses today. During the demo you see it rebuilt as phone forms with your consent wording, ready to send by text, from $97 a month.
Signed before they arrive
Wendell H.Owner, residential, Asheville Signedbefore arrivalEvery admit used to open with an hour of paperwork at reception. Now the signed packet is waiting before the car pulls in.
Adriana C.Admissions director, Tampa Mid-callforms sent during the screeningI send the form while we're still on the screening call, and most come back signed before I hang up.
Felix O.Clinical director, Columbus Completeon admit dayOn admit day the consent and pre-admission answers already sit in the PDF our records lead brings over. Nobody chases a missing page.
Colleen J.Alumni coordinator, Knoxville Day oneopt-ins on fileThe texting and review boxes are ticked on the first form, so I know who agreed to hear from us.
Devin A.Business development rep, Austin Creditedevery partner referralA therapist refers someone, I start the card from my car and text the form, and that therapist stays credited as the referral partner.
Joanna T.CEO, three sites, Denver 3 sitessending the same formAll three sites send the same pre-admission form, each with its own consent wording, and I see which are signed.
Form questions
Asked by centers moving off paper
Type consent, signature or insurance to see those answers.
6 questions
What goes on a rehab intake form?
The questions your paper packet asks now: contact details, the program asked about, an emergency contact, ID and insurance card photos, and your signed consent pages.
Can someone fill it in on their phone, by text?
Yes. The coordinator texts a link from your center's number, and the form loads in a browser, with no app to install. The signature takes a fingertip.
Can our website carry the same form?
Yes. We build your center's website, and each program page carries the form, with no ad pixels on it or on its confirmation page.
What if the person is already in RehabSignal?
It attaches to the record already holding that phone or email, so no second card appears.
Does the form check the person's insurance coverage?
No. The photos of the ID and insurance card go to your own billing team, which gets an alert and opens the record. We never check benefits or coverage.
How is the Part 2 consent signed?
With a fingertip, on the first form, at first contact. Your counsel writes the wording, and we place it word for word.
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Ask about your packet
Send your packet or a form question to Megan at sales@rehabsignal.com for a reply.
Megan AinsleyAccount manager
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