Registering new patients or learning about previous medical history are some of the processes made easier with our collection of online healthcare form templates. Our form builder provides Healthcare practitioners with an array of widgets, applications, and themes to enhance patient engagement. Enabling better communication between patient and provider, to better understand patients and their needs.
Get started by choosing one of our healthcare templates or start your customizing your own form. Additionally, Jotform offers the simple way to update medical history, acquire consent signatures, collect bill payments, find new business, and more. Plus, Jotform offers HIPAA compliant forms, so your paper healthcare forms are secure.
View our full collection of online healthcare form templates below.
Alternative Medicine Patient Intake Form
COVID 19 Vaccine Pre Screening Form
The COVID-19 Vaccine Pre-screening Form is used by medical practitioners and pharmacists to screen potential COVID-19 vaccine recipients to determine whether there is any reason the patient should not receive the COVID-19 vaccine. Once screened, the individuals may be sent for further evaluation if they do not meet the necessary conditions.
Immunization Consent Form CPESN Pharmacy
This Immunization Consent Form is for the use of CPESN Pharmacies to detect their patients' immunization and payment preference, schedule appointments, collect patient contact information and medical details with their consent to the immunization terms and conditions.
COVID 19 Liability Release Waiver
Start collecting your participants' liability release waiver for this pandemic using this COVID-19 Liability Release Waiver Template. Just connect your device to the internet and load your form and start collecting your liability release waiver. Get this here in Jotform!
Passenger Disclosure And Attestation To The United States Of America
Follow CDC requirements with this free passenger attestment form for airlines and aircraft operators. Turns form submissions into PDFs automatically. No coding.
Health Declaration Form
Beauty Salon COVID 19 Liability Waiver
This COVID-19 Liability Waiver is for Salon businesses to ensure their customers' acknowledgment of the possible risks of a salon service during the pandemic and reminds the measures that can be taken to avoid such risk. This Beauty Salon COVID-19 Liability Waiver provides you with your customers' personal and contact information and their signature to the condition statements. You can customize the template through Jotform's Form Builder, add, remove or change fields, add your own content, change the fonts, colors, background, and either embed it to your website or use it as a standalone form.
CAHPS® Clinician & Group Survey Version 3.0 (Adult)
Gather feedback from adult patients online. CAHPS® Clinician and Group Survey for healthcare providers. Add supplemental items from AHRQ. No coding required.
CAHPS® Clinician & Group Survey Version 3.0 (Child)
Readymade CAHPS® survey for healthcare providers. Easy to share and fill out on any device. Customize with supplemental items provided by AHRQ. No coding.
CAHPS® Health Plan Survey Version Adult Medicaid Survey 5.0
CAHPS® Health Plan Survey Version Child Medicaid Survey 5.0
Health Declaration Form
Hospital Discharge Form
This hospital discharge form is suitable for hospitals and clinics worldwide. The staff of hospitals can use this form to ensure all requirements are meant before a patient is discharged. The form is very detailed and contains every essential information needed. However, if this sample hospital discharge form does not contain one or more fields you needed, you do need to worry. You can easily edit the sample discharge form to ensure that it meets your hospital's format. And editing this hospital discharge form is very simple. You do not need coding skills. Why not start using this form today to capture the information you need before discharging patients.Healthcare Forms
Massage Therapy Client Intake
Never thought you needed therapy? You can sign up for massage therapy with massage intake form template and you can create a HIPAA Compliant. Also, client intake form massage is used by Chiropractors. Massage therapy intake contains different questions about personal information, contact information, history of pathology and the client's symptoms.Healthcare Forms
Psychiatric Evaluation Form
Use this neat and well-detailed psychiatric evaluation form to collect information about your psychiatric patients. This psychiatric evaluation form template can be customized to collect family history, list out symptoms and fields to input your examinations. Through Jotform your psychiatric evaluation template has access to an assortment of widgets and apps to make collecting the evaluation information easier. Get started with this our psychiatric evaluation form sample for a head start or create your own blank psychiatric evaluation form. Create a HIPAA compliant psychiatric evaluation form template today!Healthcare Forms