Telehealth Forms

A sample request form is a quick and easy way to ask for examples of a product or service from a business.

Easy appointment scheduling for e-visits. Great for telemedicine! HIPAA compliance option. Embed anywhere. Integrate with 100+ apps. No coding required.

Let patients request virtual appointments online. Add a calendar field without coding. HIPAA compliance features. Perfect for telemedicine providers.

Accept requests for e-visits through this free online appointment form. Easy to customize. embed, and share. Integrate with 100+ apps. HIPAA compliance features.

Schedule appointments online for new patients. Easy to customize and embed. Sync to Google Calendar, Zoom, and 100+ apps. HIPAA friendly features option. No coding.

Easy appointment scheduling for your virtual clinic. Free online booking form. Easy to customize, embed, and integrate. HIPAA compliance option. No coding.

The Community Health Appointment Scheduler is a Jotform Form Builder template that lets community clinics and health programs collect appointment requests online with a drag-and-drop interface for easy data collection and form submission management.

Pulmonary Treatment Intake Form helps respiratory clinics and pulmonologists collect patient details, symptom history, and consent online before appointments for more prepared pulmonary care.

Pediatric Nephrology Appointment Request Form helps children’s hospitals and clinics collect appointment requests, contact details, and visit preferences online for pediatric kidney care.

The Doctor Availability Registration form template from Jotform helps medical practices collect and manage physician schedules using a no-code form builder, drag-and-drop interface, and organized form submission data collection.