Track new patients from inquiry to first appointment with stage pills (New Inquiry → Form Submitted → Insurance Verified → Docs Received → First Appointment), conversion rate, and pipeline funnel chart.
Here are some of the formulas powering this template:
=COUNTIF('Intake Log'!F:F,"Form Submitted") + COUNTIF('Intake Log'!F:F,"Insurance Verified") + COUNTIF('Intake Log'!F:F,"Docs Received")=COUNTIF('Intake Log'!F:F,"First Appointment") / (COUNTIF('Intake Log'!F:F,"First Appointment") + COUNTIF('Intake Log'!F:F,"Lost"))=COUNTIF('Intake Log'!F:F,"New Inquiry")Enter your email and we'll give you instant access to copy this template into your Google Drive.
Click below to copy this template into your Google Drive. Check your email for setup instructions.
Make a CopyWe build custom intake systems that connect Google Forms, JotForm, or your website directly to Google Sheets — with automatic insurance verification workflows.
Start a build