Physician Forms

33 Templates

Simplify the process of scheduling appointments and issuing referrals with these powerful Physician Forms. Get started right away with one of our readymade form templates below — and fully customize it in seconds with our no-code form builder. Simply drag and drop to install widgets and integrations, choose fonts and colors, add e-signature forms, upload images, and more. Send email invites or have patients access your form from a tablet in your office. Submissions are stored securely in your online account. Jotform also offers the option to upgrade your forms to add HIPAA compliance. Give your patients the freedom to make and change appointments from any device with our free Physician Forms.

Appointment Request Form

Appointment Request Form

This appointment request form is an ideal tool that can be used by businesses to arrange meetings with their customers.

Medical History Form

Medical History Form

A medical history form is a questionnaire used by health care providers to collect information about the patient’s medical history during a medical or physical examination.

Health Tracking Forms

Online Doctor Appointment Form

Online Doctor Appointment Form

An online doctor appointment form is used by medical practices to schedule medical appointments through the practice website.

Healthcare Forms

Physician Release to Return to Work Form

Physician Release to Return to Work Form

Collect physician releases and e-signatures for your HR department with this online Physician Release to Return to Work Form. Free to use, easy to customize.

Healthcare Forms

Medical Questionnaire

Medical Questionnaire

Determine if clients are healthy enough to take part in your activity with a free online Medical Questionnaire. Fill in on any device. Sync with 130+ apps.

Healthcare Forms

COVID-19 Vaccination Card Upload Form

COVID-19 Vaccination Card Upload Form

Build your form in seconds for receiving COVID-19 vaccination card information from your patients. Copy this COVID-19 Vaccination Card Upload Form to your Jotform account.

Healthcare Forms

Covid Contact Tracing Form Template

Covid Contact Tracing Form Template

A COVID-19 contact tracing register is used by medical organizations to identify people who have come into contact with a person who is infected with COVID-19, to help prevent the disease from spreading.

Healthcare Forms

Beauty Consultation Form

Beauty Consultation Form

A beauty consultation form is a survey used by beauty professionals to gather information from their clients. Easy to use. No coding.

Physician Referral Form

Physician Referral Form

Refer patients to other physicians and collect referrals online. Easy to customize and embed. Integrate with 100+ apps. HIPAA compliance option. No coding.

Healthcare Forms

Nutrition Diary Form

Nutrition Diary Form

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

Healthcare Forms

Hypnosis Intake Form

Hypnosis Intake Form

A Hypnosis Intake Form is a questionnaire used by professionals practicing hypnotherapy to assess a client’s needs to determine eligibility for hypnotherapy services.

Healthcare Forms

Physical Therapy Evaluation Form

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.

Healthcare Forms

First Aid Treatment Form

First Aid Treatment Form

Jotform offers you a free First Aid Treatment Form form that is designed to look basic and to function efficiently. No coding. Easy to use.

Medical Surveys & Questionnaires

Daycare Allergy Form

Daycare Allergy Form

A childcare allergy form is used by daycare facilities to register children for daycare with known or suspected allergies.

Healthcare Forms

Eye Exam Form Template

Eye Exam Form Template

The Eye Exam Form Template is a document created by doctors and medical professionals to record the results of eye examinations. Easy to use. No coding. No messy papers.

Medical Surveys & Questionnaires

Rem Sleep Behavior Disorder Screening Questionnaire

Rem Sleep Behavior Disorder Screening Questionnaire

A REM Sleep Behavior Disorder screening questionnaire is a questionnaire used to collect data on the symptoms of REM Sleep Behavior Disorder.

Healthcare Forms

Physiotherapy Assessment Form

Physiotherapy Assessment Form

A Physiotherapy Assessment Form is used to determine if patients are satisfied with their physical therapy services.

Healthcare Forms

Patient Care Plan Template

Patient Care Plan Template

A patient care plan template is a document used by healthcare practitioners to outline a patient’s medical conditions and care needs.

Patient Screening Questionnaire

Patient Screening Questionnaire

A patient screening questionnaire is a form used by doctors to get basic health information from patients before confirming an appointment.

Healthcare Forms

Medicare Claim Form Template

Medicare Claim Form Template

A Medicare claim form is a document used by healthcare providers to bill the government insurance program Medicare.

Patient Enrollment Forms

Pain Assessment Form

Pain Assessment Form

A pain assessment form is a medical survey used to measure the pain level in one or more parts of the body. Use this template for free!

Medical Surveys & Questionnaires

Care Plan Meeting Template

Care Plan Meeting Template

A care plan meeting template is used by a medical practitioner to prepare the patient's treatment plan according to the details provided by the patient.

Sleep Apnea Questionnaire

Sleep Apnea Questionnaire

A sleep apnea questionnaire is a questionnaire used by doctors to learn more about the patient’s sleep-breathing habits.

Questionnaire Templates

Employee Physical Examination Questionnaire

Employee Physical Examination Questionnaire

An employee physical examination questionnaire is a test used by medical offices to evaluate an employee’s health and determine if they can continue to work.

Healthcare Forms