Coronavirus Response Forms

Rapid COVID-19 Testing Purchase Form is a form template that simplifies the process of obtaining essential COVID-19 tests, provided by Jotform to enhance the user experience and facilitate ease of access.

Free agreement template for COVID-19 vaccination providers to fill out. Easy to customize and share. Get electronic signatures. Works on any device. No coding.

Collect COVID-19 Phase 1A vaccine registrations online. Easy to customize, share, and embed. Turn into PDFs instantly. Protect data with HIPAA friendly features.

Keep a thorough record of staff and visitors. Great for COVID-19 contact tracing. Easy to customize, embed, and share. Fill out on any device. HIPAA friendly features.

Streamline the acute care transfer process with JotForm. Free online medical form for healthcare facilities. Optional HIPAA compliance. No coding.

Slow the spread at your business. Free screening questionnaire. Works on any device. Easy to customize, share, and fill out. Mobile app. Kiosk mode. No coding.

Protect the community, workplace, school, by letting the members complete this COVID-19 Daily Wellness Assessment on a daily basis. This form can be accessed on mobile devices like tablets or mobile phones.

Prevent the spread of coronavirus at your business. Free, easy-to-customize employee screening form. Fill out on any device. Easy to customize, share, and embed.

Collect emergency paid sick leave requests online. Easy-to-customize form template. Share or embed in your website. Sync with 100+ apps. Convert responses to PDFs.

Collect screening forms for out-of-state travelers. Ideal for state governments. Reduce contact time and collect form submissions online. Easy to customize, embed, and share.

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.

This COVID-19 Rapid Test Appointment and Consent Form, updated on 12.16.2020, is for the use of CPESN facilities, specific to WA State, to gather coronavirus test appointments online.

Ask clients if they’ve been exposed to COVID-19 before doing business with them. Free questionnaire for businesses. Easy to customize and fill out. No coding.

This COVID-19 Testing Authorization form is for CPESN Pharmacies to schedule testing appointments online and collect their patients consent to the coronavirus testing terms and conditions. Form simply asks patients to provide their personal and contact information, and their e-signature.

You can use this form to state individuals who have COVID-19 symptoms by asking health screening questions in order to ensure a safe work environment.

Prevent the spread of COVID-19 in your workplace using this COVID-19 shift screening form template. No need to think hard to have a draft of your own questions. Just copy this template to your Jotform account and use this immediately.

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.

Waiver portion attests that client understands risks in coming to salon during this time.

Scouts COVID-19 Self Assessment Form is used by event organizers to collect Coronavirus related self-assessment information from parents and guardians. You can edit the questions, add your terms about the scout camp participation and collect answers with e-signatures.

A COVID-19 informed consent for in-person physical therapy services is a document used by physical therapists to collect information from potential patients about their medical condition in order to make a diagnosis.

A COVID daily health screening form is used by medical practitioners to monitor a patient’s health and lifestyle. Use a free daily health screening form to collect medical information from your patients online.

Survey to collect the comfort-levels of employees in light of coronavirus.

This form collects data of individuals' personal information, quarantine details, household information, and health condition.

This COVID-19 Contact Investigation Form form should be used to interview exposed contacts of confirmed cases. The form provides you with the interview scripts together with all the fields to be filled out regarding the patient and contact.