This is a Premium Patient Portal feature. For information about all features including printable PDF instructions for your office and your patients, please see our Premium Patient Portal Knowledge Base Article.
- IE (Internet Explorer) 8, 9, and 10 are not HIPAA compliant. We do not support these browsers.
- Please make sure your browser is fully updated.
Creating a Form
1. As a Portal Admin, log into the Patient Portal at https://patientonlineportal.com.





2. Click the
link.
3. Select the
button.




4. (Steps 4 through 7 are optional - only required if you want to use a Header.) Click
in the top right to set the Header. The Header is an excellent place to put your logo.

5. (Skip if not creating a Header.) Drag an image into the box (or tap the blue bar to upload). Supported file extensions for images are .jpg, .jpeg and .png only.
6. (Skip if not creating a Header.) You can adjust Alignment and Placement. Shown above, the header will be aligned in the right and the header will show only on the first page.
7. (Skip if not creating a Header.) Once the Header is set up, click the
button.
8. Click the
button. This window will populate.
9. Type in a Form Name.
10. Include Header turn on/off using the slider. (Header created in steps 4 through 7 above)
11. Choose which Folder you want the form in. This is where the form will be found in the Upload Site and ICANotes.
12. In the Parts section, click the
button. This is where you create the content of the form.
13. Choose the first section of the form from the dropdown menu.
14. Click
button to continue creating the form.
- Text only selection:
- Textbox selection:

- Radio buttons selection: After typing in the question, click the
button to fill out answers.
- Checkboxes selection: After typing in the question, click the
button to fill out answers.<img src="https://app.teamsupport.com/dc/622114/attachments/14a74b17-cd31-47be-ab4a-d
Related Articles
Form Builder in ICANotes
Creating a Form Letter Creating a Form Letter is a quick and easy way to generate a letter on behalf of you or your practice. Possible reasons for creating a form letter may be to send an appointment reminder or to create a ‘thank you’ letter. From ...
Creating Telehealth Forms via the Portal Form Builder
This Knowledge Base article will guide ICANotes customers through the workflow of creating telehealth forms using the Form Builder in the Premium Patient Portal. For more detailed instructions on the Portal Form Builder, see this KB article. As a ...
How to Manually Send Forms Made via Form Builder
How to Manually Send Forms Made via Form Builder If you've created custom forms using the Premium Patient Portal Form Builder and set the availability Rule to "Send Manually", this Knowledge Base article will show you how to send that to your ...
Encounter Form
The Encounter Form is a running log of signatures collected from the client and clinician on each visit and includes optional fields such as the Medicaid Number, start time, end time, units, and service code. The report can be printed and saved as a ...
Downtime Form - Therapist Note [ICANotes]
Server Downtime Form - Therapist Progress Note [ICANotes] In the event of an unfortunate downtime, you can still create a Therapist Progress Note. (The chart and information displayed below is of a test chart that contains false information. No HIPAA ...