Coronavirus Response Forms

Protect yourself and your company from any liability from COVID-19 due to usage of amenities. Use this COVID-19 Amenity Waiver Template to your Jotform account.

Eliminate the need for pen and paper and start getting online consent from patients. Use this COVID-19 Informed Consent To Treat Form template and start getting consent immediately.

A COVID-19 vaccine availability form is used by medical organizations to find out if a patient is eligible for the COVID-19 vaccine.

Get the person's eligibility for the COVID-19 vaccine immediately with the help of web forms. Use this COVID-19 Vaccination Eligibility Certification Form template and let the form's conditional logic decide where the person qualifies his or her priority for vaccination.

Collect information to identify who already receives the vaccine and or who are not by using the COVID-19 Vaccine Card Collection Form. This form can be embedded on any webpage via the publishing section.

Get your employees vaccinated by requesting authorization from the local government via this COVID-19 Vaccine Authorization Form. This form can be inserted on any webpage and can be accessed via the direct link.

Collect registrations, consent forms, and schedule appointments in a single online form. Great for pharmacies and hospitals. Easy to customize, share, and embed.

Collect health declaration forms and signatures online. Great for government agencies and airlines. Easy to customize, share, and embed. Convert submissions to PDFs.

Confirm from your employees who want to participate in the vaccination and who is not by using this COVID-19 Vaccination Employee Registration Form. This form template can be embedded on any website via embed code or iframe code.

COVID-19 Vaccine 2nd Dose Consent Form allows pharmacies to collect vaccine 2nd dose consent together with all the necessary personal, contact and medical information.

Have your form in seconds and let your COVID-19 Phase 1a applicants submit their authorization for vaccination immediately. Copy this COVID Phase 1A Authorization Form template to your Jotform account and start receiving your requests right away.

Have your information and consent form in minutes for the COVID-19 vaccine. Copy this COVID-19 Vaccine Information and Consent Form template and start collecting consent right away.

Screen your patients or individuals before allowing them to set up an appointment by letting them complete this COVID-19 Vaccination Screening Form. This form template can be shared via the direct link or by embedding it into your webpage.

Form created to help individuals find out if they are eligible for the COVID-19 Vaccine. Currently, this template is configured to approve people in Phase 1 and people aged 65+ per the Kansas Department of Health and Environment (KDHE). If approved, they can be forwarded to an appointment form to continue forward (you will have to input your own link/scheduling platform). If not, they are advised they are currently not eligible after submission. Please be sure to reconfigure links!

Receive coronavirus vaccination requests from local businesses. Great for government agencies. Securely collect responses online. Easy to customize and embed.

A COVID-19 Rapid Test Appointment and Consent Form is used by medical practices to set up appointments for the COVID-19 Rapid Test and to collect consents from patients.

Beat the COVID-19 pandemic by making sure that the vaccines will go to the facility that has a pandemic vaccine plan and has the necessary equipment or tools to store the vaccines.

Receive requests online for COVID-19 vaccination for your clinic. Get this COVID-19 Vaccination Clinic Request Form template and let your requests come in online.

This template allows people to add their names under the coronavirus vaccine standby list. Fully customizable with no coding required.

This COVID-19 Phase 3 Vaccination Registration Form is use to register individuals in industries important to a functioning society and workers at moderate risk of exposure as listed in the executive orders, such as restaurant workers, hairstylists, barbers, etc. as well as young adults aged 16 to 39 years for the COVID-19 vaccine.

Collect survey responses from COVID-19 vaccination providers. Analyze data to ensure a smooth vaccine rollout. Easy-to-customize form. Share or embed in seconds.

A COVID-19 Phase 1C Vaccination Registration Form is used to register a COVID-19 vaccine for adults aged 40 to 64 with high risk medical conditions and essential workers, who are not covered in other phases.

This COVID-19 Phase 4 Vaccination Registration Form is use to register everyone for whom the vaccine is recommended, who was not included in any of the previous phases, and children for the COVID-19 vaccine.

A COVID-19 Phase 1B Vaccination Registration Form is used to register a Law Enforcement or Fire personnel for the COVID-19 vaccine. This template collects contact information and details for Law Enforcement or Fire workers so that they can receive the vaccinations at no charge.