Coronavirus Response Forms

With the COVID-19 pandemic getting more and more serious every day, it’s important to support those who’ve been hit the hardest. JotForm’s free online Coronavirus Response Forms help healthcare organizations, nonprofits, and government agencies collect the information they need — without the need for back and forth phone calls, emails, or exposing more people to the coronavirus. So whether you’re collecting patient self-assessments, processing event ticket refunds, or monitoring your workplace’s safety practices, these readymade templates are designed to make it easier for you and your organization to collect and process information remotely.

If you need to change the look or design of your chosen Coronavirus Response Form template, use our drag-and-drop Form Builder to make necessary changes in seconds. You can even sync submissions directly to your other accounts or collect donations online with our 100+ free form integrations. And since you’re helping your community during this difficult time, we’d like to help you as well — which is why we’ve introduced a free, unlimited, optionally HIPAA-compliant Coronavirus Responder Program that allows those on the front lines of the crisis to collect data without any form submission, storage, or payment limits.

And since you’re helping your community during this difficult time, we’d like to help you as well — which is why we’ve introduced a free, unlimited, HIPAA-compliant Coronavirus Responder Program that allows those on the front lines of the crisis to collect data without any form submission, storage, or payment limits.

COVID-19 Business Assistance Survey

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Find out how businesses in your area have been affected by the coronavirus with an online COVID-19 Business Assistance Survey. Free to use and easy to customize.

Coronavirus Response Forms

Coronavirus Self Declaration Form

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Employees can complete this form online and report any COVID-19 symptoms they may have. No coding required. HIPAA compliance option.

Coronavirus Response Forms

COVID-19 Volunteer Application Form

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Nonprofits can collect volunteer applications online with our free COVID-19 Volunteer Application Form. Easy to customize and embed. Sync with 100+ apps.

Coronavirus Response Forms

Screening Checklist for Visitors and Employees

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Prevent the spread of COVID-19 with a free Screening Checklist for Visitors and Employees. Ideal for hospitals or other organizations staying open during the crisis.

Healthcare Forms

Coronavirus Self-Assessment Form

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Stay on top of COVID-19 prevention with a free online Coronavirus Self-Assessment Form. Send to patients who may have the virus. Collect data from any device.

Coronavirus Response Forms

Coronavirus Intake Form for Massage Therapy

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Make sure massage clients are healthy before their spa appointment. Free intake form for massage therapists. Easy to customize, share, and integrate. No coding.

Coronavirus Response Forms

COVID-19 Questionnaire

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Record information about families in need. Free questionnaire for nonprofits. Easy to customize and embed. Integrate with 100+ apps. No coding required.

Coronavirus Response Forms

Employee COVID-19 Screening Checklist

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Morning screening prior to entering building. Used to either suggest employee wear a mask while working or go home depending if they are yellow or red.

Coronavirus Response Forms

Contact Tracing Form

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Reduce the spread of coronavirus with a free online Contact Tracing Form. Ideal for hospitals, medical organizations, and nonprofits. Collect data on any device.

Coronavirus Response Forms

Coronavirus Screening Form

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Prevent the spread of COVID-19 with a free Coronavirus Screening Form. Ideal for doctors’ offices and telemedicine. HIPAA compliance option.

Coronavirus Response Forms

Coronavirus Measures Checklist

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Check up on your employees with a free Coronavirus Measures Checklist. Collect responses online. View symptoms, temperatures, and more.

Coronavirus Response Forms

Employee COVID-19 Self Screening Questionnaire

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Employee COVID-19 Self Screening Questionnaire

Coronavirus Response Forms

Coronavirus Suspected Patient Intake Form

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Patients with suspected COVID-19 symptoms can report them online through this free intake form. Easy to customize. HIPAA compliance option. No coding required.

Coronavirus Response Forms

Teletherapy Consent Form

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Collect informed patient consent and e-signatures online with a free Teletherapy Consent Form. Great for remote medical services. Get HIPAA compliance today.

Telehealth Forms

Self Quarantine Time Off Request Form

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Let employees request time off from work for COVID-19 health concerns with this free online Self-Quarantine Time Off Request Form. Easy to customize and embed.

Coronavirus Response Forms

Work From Home Request Form

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Accept online employee requests to work from home. Collect employee info, start and end dates, and e-signatures. Easy to customize, integrate, and share.

Request Forms

COVID-19 Release of Liability Waiver

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COVID 19 Release of Liability Waiver Form provides the consent of patients to agree each statement and release from any and all liability for the unintentional exposure or harm due to COVID-19.

Coronavirus Response Forms

Client Consent for Salon Services During COVID-19 Pandemic

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Basic COVID-19 consent form applicable to the Beauty Industry in which the customers are asked about their current health status, and to accept the terms and services.

Coronavirus Response Forms

Testing Appointment Form

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Schedule appointments for suspected patients of coronavirus and other diseases. Easy to customize, integrate, and embed. No coding. HIPAA compliance option.

Appointment Forms

Coronavirus Intake form for Massage Therapists

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This form is specifically for massage therapists who need an additional form prior to resuming massage with clients.

Coronavirus Response Forms

Remote Work Readiness Assessment

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Determine whether employees are capable of working from home during the coronavirus pandemic. Easy to customize. Sync with 80+ apps. No coding required.

Human Resources Surveys

Refund Request Form

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Accept refund requests directly through your business’ website with a free online Refund Request Form. Customize and embed in seconds.

Request Forms

COVID-19 Employee Survey

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NAM COVID-19 Team Survey for your employees to fill out and provide their concerns, and consent to the measures to be taken because of the coronavirus pandemic.

Coronavirus Response Forms

Coronavirus Case Report Template

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People can report suspected cases of COVID-19 in their workplace or community. Easy to customize, integrate, and share online. No coding required.

Coronavirus Response Forms

Disclaimer

Noth­ing on this site is intended to estab­lish a physician-patient rela­tion­ship, to replace the ser­vices of a trained physi­cian or health care pro­fes­sional, or oth­er­wise to be a sub­sti­tute for pro­fes­sional med­ical advice, diag­no­sis, or treatment.