Digital Patient Intake and EHR Integration for ADHD Care

The Challenge

The KEGE Center for ADHD in Arizona, a specialist clinic for ADHD and related disorders, needed to improve its digital intake process. Although they already used digital forms, they were:

• Overly long and difficult to complete
• Lacking conditional logic, showing too many irrelevant questions
• Inefficient in collecting meaningful data
• Particularly challenging for patients with ADHD

This created frustration for both patients and healthcare providers, increased prep time for visits, and slowed down the creation of Clinical Notes.

Our Solution

Led by Keith Getic, founder of the KEGE Center, we helped redesign and implement a patient-friendly digital intake system fully integrated with their DrChrono EHR.

1. Form Redesign

   • Broke long forms into manageable sections
   • Introduced dynamic forms for parents and teachers of younger patients
   • Added essential consent forms

2. Conditional Logic

   • Displayed only relevant questions based on patient profile and visit type
   • Reduced form fatigue and completion time

3. EHR Integration

   • Created custom EHR fields for automated data transfer
   • Enabled pre-filled Clinical Notes based on form responses

4. Notifications

   • Automated reminders via email and SMS to complete forms

Results

• Reduced time needed for patients to complete forms
• Simplified preparation for providers before appointments
• Faster Clinical Notes creation after visits
• Higher appointment throughput and reduced wait times

"We can quickly review the forms before the appointment and form preliminary thoughts. We spend less time per appointment, and the quality of our time with patients has improved." — Keith Getic, Founder

Technical Implementation

• Form Builder: Jotform (HIPAA-compliant, advanced conditional logic, embedded in patient portal)
• Automation: Microsoft Power Automate (HIPAA-compliant, low-code, flat-rate pricing)
• Custom Logic: Azure Functions (Python scripts for complex automation)
• Communication: SendGrid (email), Twilio (SMS)

Next Steps

1. Add multilingual support for broader accessibility
2. Expand the system to post-visit follow-ups and surveys
3. Implement reporting dashboard to track form usage and patient trends