Health Coach Forms

34 Templates

Medical Report Form

A medical report form is a document used by medical professionals for documenting a patient’s medical treatment.

Medical Surveys & Questionnaires

Blood Donation Form

This blood donation form lets you provide a health clinic, hospital, or blood bank with the information they need to add you to their subscriber link for blood donors. Fully customizable and free.

Medical Application Forms

Mental Health Intake Form

Perform patient intake online. Collect medical history, supporting documents, and fee payments. Protect patient data with optional HIPAA compliance.

Telehealth Forms

Patient Health Questionnaire

If you have an online health service , this forms is suitable for you. Get your patient to fill the form so that you can be able to diagnose them.

Medical Surveys & Questionnaires

Health Survey

A Health Survey is a form template designed to collect medical information from patients and log their anamnesis

Medical Surveys & Questionnaires

Medical Intake Form

A Medical Intake Form is a form template designed to collect comprehensive information about a patient's medical history, past surgeries, genetics, and symptoms

Patient Registration Form Templates

Hospital Patient Registration Form

A hospital patient registration form is used by medical practitioners to collect patient details before their stay in the hospital. Collect all necessary data of your patient's health-related information with Jotform!

Patient Registration Form Templates

Mental Health Assessment Form

Determine the mental state of an individual by performing a mental health exam using this Mental Health Assessment Form. This form is effective in diagnosing mental health status.

Evaluation Forms

Doctor Note Form

A doctor's note form is a document written by a doctor stating the patient is too sick to go to work or school.

Healthcare Forms

Health Screening Form

This health screening form is for physical training centers that accept registration from individuals that would want to undergo a series of training related to physical wellness. Use this health screening report template if you are looking to screen clients before they can join your training. You can screen clients through this screening form template by asking them for their personal measurements, their current occupation and lifestyle, their medical history and nutrition habits if any. This health screening template is a six (6) part form with your terms and condition that discusses how the business proceeds with cancellation and late session arrivals.

Medical Surveys & Questionnaires

Mental Health Survey

Conduct mental health assessments with this free survey template for businesses, schools, and more. Easy to customize and fill from any device. No coding.

Medical Surveys & Questionnaires

Nutrition Diary Form

Track your food intake and diet with a free Nutrition Diary Form.

Tracking Forms

Health And Wellness Survey

A health and wellness survey is a type of questionnaire used by medical professionals to collect information about a patient's health and lifestyle habits. No coding is required!

Survey Templates

Blood Donor Consent Form

A blood donor consent form is used by blood banks and other organizations to collect information from potential blood donors. Fully customizable and free.

Medical Consent Forms

Nutrition Coaching Intake Form

Use this Nutrition Coaching Intake Form in order to assess and evaluate what type of nutrition plan will be created for the patient. This form can be customized further via the Form Builder.

Healthcare Forms

Telehealth Counseling Consent Form

Collect consent forms and e-signatures with an online Telehealth Counseling Consent Form. Easy to customize and share. Opt for HIPAA friendly plans.

Telehealth Forms

Health Insurance Claim Form

Health insurance providers can use our Health Insurance Claim Form to process patient claims online. Stay HIPAA-friendly with our Gold plan!

Healthcare Forms

Group Therapy Client Feedback Form

A group therapy client feedback form is a feedback survey that allows clients to review the services of a therapist working in a group therapy setting or clinic.

Feedback Forms

Physical Therapy Evaluation Form

Accurately check the physical health condition of the patient by using this Physical Therapy Evaluation Form. This form will help the physical therapist evaluates and diagnose the patient in a systematic manner.

Physician Forms

Health Coach Client Intake Form

Help an individual achieve his health goals by having them complete this Health Coach Client Intake Form before proceeding. This form template can be embedded on any webpage or be opened via the direct link.

Patient Registration Form Templates

Healthy Habits Questionnaire

A healthy habits questionnaire is a survey for collecting information about individuals' healthy habits.

Medical Surveys & Questionnaires

Medication Administration Form

A medication administration form is a document that allows health care professionals to administer medications to patients. No code is required!

Medical Consent Forms

Telehealth Physical Therapy Consent Form

Offering virtual physical therapy appointments? Collect signatures and payments from patients online. Easy to customize and integrate. HIPAA compliance features.

Telehealth Forms

Ob Gyn Patient History Form

An ob/gyn patient history form is used by ob/gyns to collect and store information about a woman’s health and pregnancy.

Medical Surveys & Questionnaires

About Health Coach Forms

Are you a health coach looking for a convenient way to gather information from your patients? Streamline your intake process with these free Health Coach Forms from Jotform. Choose a form template below to start collecting responses from questionnaires, surveys, and patient health assessments from any device. Customize your forms without any coding with Jotform’s intuitive form builder. Simply drag and drop to add form elements, edit text fields and checklist items, upload your personal branding, and much more. Go paperless and securely collect and store patient data online with a fully-customizable Health Coach Form.