De-Identified Intake Forms

De-Identified Intake Forms

IMAGE

COMMERCIAL

RAW

Contributors upload intake forms, questionnaires and assessments as images with personal identifiers removed before upload, and the task accepts only de-identified files. Clinical intake paperwork is a document class healthcare automation needs and rarely has: handwritten and typed entries on printed forms, checkboxes, scales, free-text history, in real-practice layouts, not a template library, and the public corpora are synthetic because the identity risk is high. Regulatory fit is assessed per engagement, not asserted here. Healthcare document teams can scope the set by form type, geography and volume; every contributor opted in to this use when they uploaded.

Regions

100+ countries

Updated

Technical specs

Technical specs

What’s in the collection and how it’s delivered.

Data modality

Images

Annotated

Raw (no labels)

Exclusivity

Non-exclusive rights

Capture tool

Phone camera or uploads

Use cases

Healthcare document automation, intake form extraction, clinical questionnaire understanding

Format

JPG / PNG / HEIC

Resolution

Native phone camera resolution (JPG, PNG, HEIC)

Total volume

Available on request

Regions

100+ countries

Purity level

QA review on every submission

Ready to test
this dataset?

Ready to test
this dataset?

Get a sample set to evaluate, or talk to our data team about volume, exclusivity, and custom collection.

Get a sample set to evaluate, or talk to our data team about volume, exclusivity, and custom collection.