intake_form_builder

A form-building tool for creating patient intake forms, which collect information from patients before or during healthcare visits.

In plain words
What is it for?
Use it to create forms from blank or standard templates, edit labels and validation, mark required or protected fields, preview forms, and export their JSON schema.
Why use it?
It helps practices structure fields, check handling of protected health information, and review forms before publishing them.

Skill for Claude CodeCodex

Install

Getting it into your agent

One page per mod, every tool's command on it. A separate URL per tool would split the same page into five that compete with each other.

agentmods
npx agentmods add skills/proxy2021/enso/intake_form_builder
Any agent
npx skills add Proxy2021/Enso --skill intake_form_builder
Clone the repo
git clone --depth 1 https://github.com/Proxy2021/Enso

Made for: Claude Code, Codex.

Per session 30 Skills are progressive disclosure: only the name and description are preloaded; the body loads when the skill is used.
When invoked 809 The whole file, excluding the scripts and references it only reads on demand.
Security scan A 0 findings. Scan, not verified.
Origin original No closer match found in the catalogue.
Token cost

What it costs to keep this loaded

Counted locally with the o200k_base tokenizer, which is exact for GPT models; Claude uses its own tokenizer and its counts differ. Treat this as one consistent yardstick across the catalogue rather than a bill. Prices are per million input tokens.

ModelPer sessionOnce invoked
Fable 5 $0.00030 $0.00809
Opus 5 $0.00015 $0.00404
Sonnet 5 $0.00006 $0.00162
Haiku 4.5 $0.00003 $0.00081

Measured 2d ago against content hash b8c1abb99703, method: parsed. Prices are Anthropic first-party input rates as of 2026-08-30, from the pricing page.

Security

Grade A, and why

intake_form_builder scanned grade A with 0 findings against 26 rules in 11 categories — prompt injection, anti-refusal, data exfiltration, privilege escalation, supply chain, agent snooping, system-prompt leakage, SSRF and excessive agency — measured 2d ago.

The scan reads SKILL.md. This mod also ships 7 executable files (executors/browse.js, executors/compliance.js, executors/create.js, …), listed below but not scanned — reading those needs a real analyzer, not pattern matching.

A static scan of the body, not an audit. Every finding is printed with the line that produced it so you can judge whether it matters here. A mod is markdown that instructs an agent; that is exactly why what it instructs is worth reading.

Nothing flagged

None of the 26 patterns this scan looks for appear in this file: no shell pipes, no recursive deletes, no credential paths, no hidden text, no instruction-override or anti-refusal phrasing, no agent-config snooping. That is not a guarantee, it is the absence of the things that are checkable.

server/apps/intake_form_builder/SKILL.md · 71 lines

How it starts

The opening of the file, as written. The whole thing — 71 lines — stays where its author put it; the contents beside it link to each section on GitHub.

Patient intake form builder with drag-and-drop fields, HIPAA compliance checklist, form preview, and JSON schema export for healthcare practices

Tool Reference

enso_intake_form_builder_browse (primary)

List all saved patient intake form templates with summary statistics (field count, PHI fields, compliance score). Use when the user says: 'show my forms', 'list intake forms', 'browse form templates', 'open form builder'.

Parameters:

  • filter (string): Filter forms by status: all, draft, published (default: all)

enso_intake_form_builder_create

Create a new patient intake form from scratch or from a template. Specify a template type to pre-populate with standard fields. Use when the user says: 'create a new form', 'start new intake form', 'make a patient form'.

Parameters:

  • title (string): Form title (default: 'New Patient Intake Form')
  • template (string): Template type: blank, standard, pediatric, specialist (default: standard)

enso_intake_form_builder_edit

Edit a field in an existing form — update label, placeholder, validation, required status, or PHI flag. Use when the user says: 'edit field', 'change field label', 'make field required', 'mark as PHI'.

Parameters:

  • formId (string): Form ID to edit
  • fieldId (string): Field ID to edit
  • label (string): New label text
  • required (boolean): Set required status
  • phi (boolean): Set PHI flag
  • validation (string): Validation type: none, email, phone, date, ssn

enso_intake_form_builder_preview

Generate a full preview of a patient intake form showing how it will appear to patients. Use when the user says: 'preview the form', 'show form preview', 'how will it look'.

Parameters:

  • formId (string): Form ID to preview

enso_intake_form_builder_compliance

Run HIPAA compliance check on a form, scoring privacy notice, data minimization, authorization, patient rights, and security categories. Use when the user says: 'check compliance', 'HIPAA check', 'is my form compliant', 'compliance score'.

Read the full file on GitHub · 71 lines

Files

What ships with it

9 files beside SKILL.md in the same directory: the scripts, references and assets a skill reads on demand. Not counted in the per-session cost; read them before you install if any of them is executable.

Changes

What this file has done since we first saw it

Hashed on every crawl. A supply-chain change to an agent config is a question of when, not whether, so the history is kept rather than the latest state alone.

  1. 2d ago First seen · 71 lines · 30 tokens per session scan A b8c1abb99703

Subscribe to this mod's changes

intake_form_builder is a skill published in the GitHub repository Proxy2021/Enso (5 stars, last pushed 3mo ago), licensed MIT. It adds 30 tokens to every session and 809 once invoked, about $0.0002 per session on Opus 5. A static security scan graded it A with 0 findings. No closer match exists in the catalogue, so it is treated as the original; first seen 2026-08-31.

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