What we do ...

We provide an online platform for health care practitioner's intake forms. 

Whilst it is important to build rapport during the first intake consultation, it is equally important to gather accurate data. This balance is fragile at best. 

Opt to send a professional online form ahead of your first consultation. This will provide you with the necessary information to guide your intake consultation accordingly to the presenting issue and the patient concern whilst having accurate data at your fingertips. This saves you TIME and your patient's MONEY. A win-win situation to creating value for money in terms of patient satisfaction and clinical accuracy. 

Once the form is completed, you will receive an e-mail notification with the data. This data can generate a report, saving you hours of report writing. Simply add your clinical observations and recommendations. 


release APRIL

Send a link of our online questionnaire to your patients and an e-mail with the relevant information will be sent to you for your interpretation and use in our treatment program.​

Batch orders coming soon.


$9.99 per form


release APRIL

Send a link of our online questionnaire to your patients and a report will be generated with the information. Add your clinical recommendation to complete the report.

Batch orders coming soon.


$29,99 per form


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Send us your logo and colour scheme, and we will brand your online forms as well as your reports. You will receive a a branded report with the information, training opportunities for parents and your conclusions.


$499 per month

© 2017 by Dr. Beulah.

Dr. Beulah

Educational Psychologist

|  Tel: +27 (21) 785 2994

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