Bilingual Intake Forms · Flagship
One build. Two languages. Every message after it, in the right one.
Intake forms that exist in English and Spanish from a single build — embedded on your site, collecting what you actually need, and setting the language for every message that follows.
BEFORE / AFTER
What actually changes
| Today | With TheraCRM.pro |
|---|---|
| English form, or a translate-button copy nobody maintains | Both languages from one build, versioned together |
| Spanish submission → English auto-reply | Spanish submission → Spanish everything |
| Submissions land in an inbox | Submissions become pipeline cards, tagged ES or EN |
| Somebody retypes it into the EHR | Structured, ready to hand off |
| No idea which form field loses people | Field-level drop-off visible |
HOW IT WORKS
How it works
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1
We build the form around what your practice actually needs to know — not a template. Presenting concern or procedure interest, insurance or private pay, availability, referral source, language preference.
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2
It publishes in English and Spanish simultaneously. Edit once, both update. No drifting translations.
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3
It embeds on your existing site — WordPress, Squarespace, Wix, Webflow, custom. One snippet.
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4
On submit: the record is created, tagged with language, routed to the right clinician or coordinator, and the first automated reply goes out — configured to respond in under a minute — in their language.
DETAILS
The specifics
BY VERTICAL
How this differs across practice types
One system, four configurations. Every plan runs on the same underlying build — what changes is which fields, stages, and rules apply.
Therapy
Presenting concern, modality preference, clinician gender preference, and crisis-screening language reviewed by a clinician before it ships.
Med spa
Treatment interest, prior treatments, and contraindication screening.
Dental
Insurance and eligibility, medical history, current pain, last visit.
Medical
Referral source and referring provider, medications, allergies, and patient location, captured for telehealth-eligibility purposes.
SOUTH FLORIDA
Nearly nine in ten Miami-Dade County residents age five and older speak a language other than English at home — 88.0%, per the U.S. Census Bureau’s QuickFacts. A form that only exists in English is not a minor gap here. It is most of the market. The county does not publish a Spanish-specific figure, but the large majority of that non-English population is Spanish-speaking — which is why English and Spanish, not just English, is where a South Florida intake form has to start.
And the Spanish has to be right. Machine translation reads as foreign in Miami, which is worse than English, because it signals the practice tried and did not care enough to finish. Ours is written by bilingual people who live here.
FAQ
Questions we get on the consult call
Yes, after training — setup is self-serve by default and most practices make small changes themselves. If you would rather not touch it, Aday Interactive offers implementation as a separate, quoted engagement. Either way works.
We do, and a bilingual person reviews it. Your clinical language gets your approval before publish.
Yes — fonts, colors, spacing.
Ask. Portuguese and Haitian Creole have both come up. We will price it honestly rather than assume.
See it configured for your practice.
Book a 30-minute consultation and see your own intake fields, in both languages, before you decide anything.