Physician Forms

14 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.

Online Doctor Appointment Form

Online Doctor Appointment Form

The template simplifies the process of scheduling doctors appointment with new and recurring patients through collecting relevant information of the patient and appointment. You can create a HIPAA compliant Appointment Form today

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

Nutrition Diary Form

Nutrition Diary Form

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

Healthcare Forms

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

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

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

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

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

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

Allergy Action Plan Form

Allergy Action Plan Form

An allergy action plan form is used by doctors to create a plan for individuals who are allergic to different substances.

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