Healthcare Forms

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.

Other Healthcare 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

New Patient Enrollment Form

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New Patient Enrollment Form which personal information, contact information, emergency contact people area and medical history information are provided; allowing you to have an easier and faster registration process.

Patient Registration Form Templates

Medical History Form

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Medical History Form template allows tracking patient history with all their personal and contact information and also their illnesses and medication data.

Tracking 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

Personal Training Consultation Questionnaire

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A training questionnaire collecting personal and contact, health, medication, habitual(smoking), occupational, physical information; with areas to fully understand the customer expectation and with package options to select from.

Questionnaire Templates

Patient Feedback Form

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Get patient feedback with this online feedback form and improve your service.

Feedback Forms

Online Doctor Appointment Form

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The template simplifies the process of scheduling doctors appointment with new and recurring patients through collecting relevant information of the patient and appointment. You can create a HIPAA compliant Appointment Form today

Appointment Forms

Massage Therapy Client Intake

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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.

Signup Forms

Hospital Patient Registration Form

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Through the Hospital Patient Registration Form, you can collect all necessary data of your patients' health related information as their name, birthday, health history, family doctor, emergency contact information and more.

Patient Registration Form Templates

Patient Medical History Form

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The template is used by patients to register medical history through providing their personal information, weight, allergies, illnesses, operations, healthy habits, unhealthy habits. You can integrate the data to your own systems.

Patient Registration Form Templates

Psychiatric Evaluation Form

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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!

Evaluation Forms

Intake Form for Care Providers

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Use this detailed intake form for your healthcare/rehabilitation facility, capture patient information with an agreement between you and the patient.

Medical Application Forms

Client Progress Notes - Revised

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Do you want to follow your clients progress notes? Create a HIPAA Compliant client progress notes sample and revised your psychotherapy client notes. Client progress notes template has personal information and five different classifications such as presentation assessment, safety and medical issues, subjective/objective part, interventions, and objectives and progress part.

Healthcare Forms

Medical Employment Information Form

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Here is an Employee Medical History Form that can be used to create an employee medical information database which provides employee contact information along with emergency contact information and medical insurance details.

Employee Information Forms

Quick Emergency Contact Form

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Collect emergency contact numbers from employees, patients, and more. Easy to customize. Works on any device. Integrate with 100+ apps for free. No coding.

Healthcare Forms

Blood Donation Form

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This blood donation form lets you provide a health clinic, hospital, or blood bank with the information they need to add you to their subscriber link for blood donors. Donors will submit their contact information and blood type to the clinic, securely. JotForm offers HIPAA compliance, so even the most sensitive patient data is safe. As is the case with all of JotForm’s form templates, this blood donation form is completely customizable. Add your logo, colors, images and more and start building out your list of blood donors today.

Donation Forms

Gym health questionnaire Form

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Do you need gym health questionnaire and searching for some gym questionnaire examples? Well, this is the simplest and easiest gym questionnaire template you can ever find. Let's check this out!

Medical Surveys & Questionnaires

HIPAA agreement form -Health care operations.

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With this HIPAA agreement form you can have your patients and users involved in health care operations to read and even sign the form.

Consent Forms

COVID-19 Salon Company Consent form

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This COVID-19 Salon Company Consent Formasks your customers to provide their personal information and service details with their acknowledgment of the COVID-19 measures and consent to obey the terms and conditions.

Healthcare Forms

Health Evaluation Form

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If you have an online health service , this forms is suitable for you. Get your patient history, lifestyle and more. Customize it to your needs

Medical Surveys & Questionnaires

Alternative Medicine-Patient Intake form

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Do you work for alternative medicine? This alternative medicine disclaimer form is very useful for those herbal medicine practitioners, wellness practitioners, alternative medicine practitioners, holistic medicine practitioners, etc. This holistic health intake form will help you to gather your patients' current diet information, health concerns, lifestyle information, education, physical activity, etc. You can create a HIPAA Compliant holistic nutrition intake form today.

Medical Surveys & Questionnaires

Initial Visit Patient Forms (MDR)

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Get more information about your patient medical history with this simple and easy to use form

Medical Surveys & Questionnaires

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

MEDICATION LIST

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Do you want to track your patient's progress? Cardiologist office requesting patients to complete a medication list prior to appointments. Medication list form contains personal information about the patient, patient medications which include all medications, over-the-counter, diabetic, dietary supplements and vitamins, smoking history, alcohol consumption and caffeine usage.

Abstract Forms

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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.