COVID-19 Vaccine Schedule Forms

Schedule vaccine appointments for your pharmacy, healthcare clinic, or hospital online. Our HIPAA-compliant COVID-19 vaccine scheduling form templates are secure and easy to customize, share, and fill out on any device. Streamline the booking process with Jotform — and ensure everyone gets their vaccine.

Templates

Vaccine Scheduling Form Templates

No need to build your COVID-19 vaccine scheduling form from scratch. Simply choose one of our readymade templates and customize it in just a few clicks with our drag-and-drop Form Builder. Add form fields, widgets, app integrations, logos, and more!

Vaccine Appointment Form

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Vaccine Scheduler and Consent Form

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Vaccine Scheduler

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Benefits

Instantly Vaccine Scheduling Forms

Stay HIPAA compliant

Keep sensitive health information safe with our online COVID-19 vaccine scheduling form. Our HIPAA-compliant forms automatically encrypt PHI to ensure the security of your patients’ data.

Collect health data safely

Get the medical information you need. Our COVID-19 vaccine scheduling forms make it easier than ever to gather responses anywhere — be it in person or online. For additional safety, we also offer a contactless solution with a touchless kiosk feature in our Jotform Mobile Forms and Jotform Health apps.

Schedule appointments

Patients can easily select their appointment date and time from a calendar that shows available time slots. By creating a more efficient online scheduling procedure, you’ll encourage more people to get the vaccine.

Testimonials

What our users say about Jotform

I use Jotform with a number of clients, but the two for whom it is most useful are a medical charity and a tennis coaching company. I like the flexibility Jotform offers for gathering registration information and managing workflows triggered by changing the status of membership applications. These help my clients streamline their admin processes and control their admin costs.

Iwona Batterberry, Consultant, Brainwaves Gravy