What is JotForm?
JotForm is a free online form builder which helps you create online forms without writing a single line of code. No sign-up required.

At JotForm, we want to make sure that you’re getting the online form builder help that you need. Our friendly customer support team is available 24/7.

We believe that if one user has a question, there could be more users who may have the same question. This is why many of our support forum threads are public and available to be searched and viewed. If you’d like help immediately, feel free to search for a similar question, or submit your question or concern.

  • Profile Image

    Creating a new patient intake form

    Asked by Kal  on December 07, 2015 at 02:36 PM

    I would like to create a new patient intake form similar to the one below, with some alterations.  How do I go about doing this and is there a cost associated with it.


    Thank you,


  • Profile Image
    JotForm Support

    Answered by david on December 07, 2015 at 03:58 PM


    You can actually clone that form to your own account to modify.  Here is our guide on how to do so:


    There is no cost associated with doing so and can be done from a Free account.

    If you have any further questions, let us know and we will be happy to help.