Free Patient Access Software

Boost patient engagement with Jotform: a powerful platform designed to give healthcare providers and their patients simple, secure, and convenient access to medical records. Collect patient data, schedule appointments, and manage patient files using forms that enable HIPAA compliance.


Free Patient Form Templates

Get a head start with ready-made templates. Choose one to customize with our drag-and-drop builder.

Patient Portal Consent Form

Template patient-portal-consent-form
Template patient-portal-consent-form

استبيان طبي

Template medical-questionnaire
Template medical-questionnaire

Patient Discharge Form

Template patient-discharge-form
Template patient-discharge-form


Instantly Create Patient Access Forms

Create powerful forms

Make your first form in a few easy clicks. Start with a free template or build from scratch with our drag-and-drop builder. No coding required!

Add your branding

Make your online forms match your healthcare provider’s branding. Upload your logo, change fonts and colors, or update the form background.

Speed up the billing process

Integrate with 30+ popular payment gateways — like PayPal or Stripe — to collect fee payments seamlessly on any device.

Protect sensitive health data

Clinical patient access solutions need to keep sensitive patient data protected — which is why Jotform includes PCI compliance and optional HIPAA compliance features.

Send appointment reminders

Set up autoresponder emails to remind patients of their upcoming appointments automatically.


ماذا يقول مستخدمونا عن Jotform

هذه هي أفضل أداة على الإطلاق!!! عندما كنا نبحث عن حل للتسجيلات الأونلاين، كانت الخيارات التي رأيناها تنطوي على إنفاق آلاف الدولارات دون تخصيص سهل - فقد تضمنت الدفع للمطورين مقابل وقتهم! مع Jotform، يمكنك إجراء التغييرات بنفسك ولا تحتاج إلى الكثير من الخبرة في التطوير أو البرمجة! أحبها وربما ستستمر في استخدامها لسنوات عديدة قادمة. !

Alissa Kline, Alissa Kline، مساعد المجلس، KLMCarpenters, KLMCarpenters