
In a world where patient-centricity and real-time data collection are increasingly critical, web-based forms have emerged as a powerful intake channel for pharmacovigilance teams. Whether it’s healthcare professionals, patients, or partners submitting safety information, the ability to collect, validate, and route data efficiently is a game-changer.
With UltraIntake’s Web Forms Integration, Ultragenic enables life sciences organizations to design, deploy, and manage custom forms—securely and in full regulatory compliance.

UltraIntake empowers business users to create and configure web forms without IT intervention. You can define field types, layout, validations, and more—all through an intuitive interface. This flexibility supports rapid deployment for different products, regions, or reporting needs.

In global pharmacovigilance, localization is non-negotiable. UltraIntake supports multi-language web forms, making it easy for users across geographies to report adverse events in their local language—improving accessibility and reporting rates.

To reduce errors and incomplete submissions, UltraIntake includes built-in validation rules. Fields can be marked as required, constrained to specific values, or checked against dictionaries—all helping to ensure that the data you receive is complete and usable from the start.

With end-to-end encryption (in transit and at rest) and compliance with GDPR and HIPAA, UltraIntake ensures that sensitive patient data is always protected. You can collect information with confidence, knowing that every interaction meets the highest privacy standards.

Each form can be fully customized to reflect your brand, with support for company logos, themes, and colors. This enhances user trust and delivers a consistent experience, whether the form is accessed via your corporate website, patient portal, or mobile device.

UltraIntake integrates seamlessly with medical dictionaries, enabling intelligent data capture and ensuring compatibility with downstream safety systems. This supports standardized coding and smoother automation during triage and reporting.

UltraIntake’s Web Forms Integration bridges the gap between data collection and operational efficiency. It empowers your organization to be proactive, compliant, and responsive—without sacrificing usability or control.
Looking to launch your own branded safety reporting forms?
Connect with us at contactus@ultragenicglobal.com to explore how UltraIntake can elevate your case intake capabilities.