Conditional logic
Questions adapt based on responses
Diya Forms™ enables patients to complete intake forms, consents, and questionnaires in their language — directly within existing EHR and Patient Portal workflows

Forms are the first point where patient understanding becomes clinical data. Yet for many patients, especially those with limited English proficiency, forms are often:

Confusing or unclear

Incomplete or partially filled

Delayed or skipped

Completed by unauthorized family

Missing or inaccurate data

Unsafe assumptions

Staff workarounds

Repeated explanations

Delays in care
Diya Forms™
Supports patient understanding for safe care while enabling reuse across sites and departments
Registration & Intake Forms

Examples:

Demographics

Family History

Medical History
Consents & Disclosures

Examples:

HIPAA Acknowledgement

Consent to Care
Clinical Questionnaires

Examples:

Ages & Stages Questionnaire

Medication Reconciliation
Behavioral & Social Screenings

Examples:

PHQ-9

GAD-7

MChat
Transforms existing forms into patient-ready, clinically usable experiences — embedded in care workflows

Diya Forms™ is purpose-built for regulated healthcare environments
Works with existing EHRs & Patient Portals
Delivered in the patient's language
Preserves form structure, logic, & clinical meaning
Enterprise-grade security & governance
Capabilities health systems need to support clinical decision-making

Conditional logic
Questions adapt based on responses

Multi-role input
Patient, authorized family, or staff participation when appropriate

Clinical scoring
Automated calculation of results

EHR-integrated
No print-outs or manual re-entry

Diya Forms™ operates within Diya Safe AI™ for use in regulated clinical environments

The Diya Safe AI™ framework provides:

Audit trails & submission tracking

Monitoring & reporting

Secure handling of clinical & patient data

Alignment with healthcare data protection & governance standards
When Diya Forms™ is deployed, health systems see measurable improvements across care delivery

Faster intake & screenings for LEP patients

Higher data completeness & accuracy

Fewer staff workarounds & re-explanation

More reliable inputs for downstream clinical decisions

Greater consistency across sites & departments
45
4.5/5
95%
Diya Forms™ supports providers and patients before, during, and after care




A clear, low-risk path from evaluation to adoption
Working Session
Identify high-need healthcare forms where language barriers create friction, delay, or risk

Defined Pilot
Deploy Diya Forms™ in one high-impact use case with clearly defined success criteria

Evidence-Based Expansion
Scale based on pilot outcomes, prioritizing areas with the greatest need
Explore how Diya ensures patient understanding wherever care happens