COVID-19 Report Forms

18 Templates

Collect COVID-19 report forms online with these free templates from Jotform. Whether you’re gathering self-certifications of vaccine status or reporting COVID-19 cases for your school, start by choosing a template below to customize with our drag-and-drop builder. Once you’ve finalized your form, you can then share it with a link to be filled out seamlessly on any device — including computers, tablets, and smartphones.

Want to make these COVID-19 Report Forms your own? You can upload your logo, add new questions or form fields, and make other changes in seconds — all with no coding required! You can even integrate with 100+ platforms including Google Drive, Slack, and Dropbox. All responses through your COVID-19 Report Forms will be stored securely in your Jotform account, which you can choose to protect with HIPAA compliance

Coronavirus Case Report Template

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

Healthcare Forms

Negative COVID-19 Test Reporting Form

Receive submissions for COVID-19 test reports from your staff for your company or organization online. Use this Negative COVID-19 Test Reporting Form template and make your receiving process simple and manageable.

COVID-19 Report Forms

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

Self-Certification of Vaccination Status

Collect COVID-19 vaccination status forms securely on any device. Ideal for employers meeting Santa Clara County requirements. Convert to official PDFs automatically.

COVID-19 Report Forms

Covid-19 Acknowledgement

A Covid-19 Acknowledgement is used by medical professionals to acknowledge patients that have consented to the Covid-19 vaccine. This Covid-19 Acknowledgement form can be customized to fit your medical practice’s branding.

IT Forms

COVID-19 Test Result Reporting Form

Collect COVID-19 test results from employees, students, customers, and more. Accept file uploads. Free and easy to customize. Works on any device. No coding.

Healthcare Forms

COVID-19 Lab Report Form

Improve the workflow of your hospital or clinic by using this COVID-19 Lab Report Form wherein it can be filled out and submit it in real-time. This form is accessible on any device including tablets and mobile phones.

COVID-19 Report Forms

Passenger Self Reporting Form

Passengers can report COVID-19 symptoms through this free online form. Great for travel agencies, airports, and airlines. Easy to customize. No coding.

Healthcare Forms

COVID-19 Symptoms Self-Report Form

A COVID-19 symptoms self-report form is a form used by medical offices to collect information from patients about their symptoms or complaints.

Healthcare Forms

COVID-19 Helpline Report

A report form that collects the patient information, contact details, their compliment, suggested treatment prepared after the COVID-19 pandemic.

Healthcare Forms

U.S. Presumptive Coronavirus Self-Reporting Form

Presumptive Corona Virus (Covid-19) Self Report Form

Healthcare Forms

COVID-19 Compliance Report Form

A COVID-19 compliance report form is used by healthcare facilities to provide information about compliance with the COVID-19 vaccine for patients. No coding!

Healthcare Forms

Adverse Event Reporting Form

A vaccine adverse event reporting form is used to report serious side effects related to immunizations. It is used by vaccine recipients and doctors and will help identify potential vaccine side effects.

Healthcare Forms

Covid 19 Daily Status Update Form

A COVID-19 daily status update form is used by medical teams to collect information from patients in real-time about their COVID-19 vaccination status. no coding!

Coronavirus Response Forms

COVID-19 School Reporting Form

A COVID-19 school reporting form is used by school authorities to report on the status of the COVID-19 vaccine at their school. No coding is required!

Education Forms

Student COVID-19 Self-Certification and Verification Form

A daily symptom screening that must be conducted to each student every day prior to their entry to the school. Customizable with no coding.

Education Forms

COVID-19 Intubation Checklist Form

Perform checks on patients intubated due to the coronavirus. Fill out a secure online form on any device. Easy to customize. Protect data with HIPAA compliance.

Healthcare Forms

COVID-19 Outbreak Reporting Form

Allow the facility to report their current status in terms of the number of COVID-19 patients by having them fill out this COVID-19 Outbreak Reporting Form. This form template contains all necessary information in determining if there's an outbreak in the facility or not.

COVID-19 Report Forms