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Patient Registration Form Templates

Patient registration forms are used to register patients for procedures offered at medical facilities. Whether you need to register new patients for your hospital, clinic, health center, or private practice, our free Patient Registration Forms will streamline the registration and onboarding process by seamlessly gathering patient information online. Simply customize any of the free templates below to match your medical facility, and you’ll be registering new patients in no time! Patients will be able to provide their personal information, provide emergency contact numbers, write down their medical histories, attach files, and submit payments all at once. Submissions will be stored safely in your secure JotForm account, easy for you and your staff to access from any device.


Customizing your Patient Registration Form isn’t brain surgery. Using our drag-and-drop Form Builder, you can operate on your form by adding form fields, images, and even your logo without any coding. JotForm also offers hundreds of app integrations designed to streamline your front desk workflow. Integrate your form with a payment gateway to collect registration fees, or with file storage accounts and spreadsheets to keep patient records organized in one place. Win your patients’ trust by keeping their sensitive health information safe — just upgrade to a Silver or Gold plan to make any of our Patient Registration Forms HIPAA compliant. When you’re done customizing, publish it on your website to register patients before their appointments, or have patients fill out the form on a tablet while waiting in the lobby. With our Patient Registration Forms, you’ll register more patients faster, keep better track of your patients, and guarantee a better patient experience overall.

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

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

Patient Registration Form

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Before patients can proceed with medication and checkup, they are usually provided with form to register which asks basic patients personal and medical background. This is the form you need.

Patient Registration Form Templates

New Patient Registration Form

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This new patient registration form, or patient intake form, gathers the necessary information that your clinic, practice, or hospital needs to onboard them into your system.

Patient Registration Form Templates

New Pediatric Patient Registration Form

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This new patient registration form will help every neonatologist and pediatrician that needs to evaluate children development or help, with every important details in order to keep track of their development and improvement of their patient.

Patient Registration Form Templates

New Patient Registration

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Do you want to collect important information like name, email and other information from your patients on their first appointment for record keeping? You've come to the right form!

Patient Registration Form Templates

Medical Center Registration Form

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Medical Center Registration Form makes it easy to register your patients to your medical center.

Patient Registration Form Templates

Dietitian Patient Questionnaire

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Here is a Dietitian Patient Questionnaire that allows for new patient enrollment through collecting their personal and contact information with a detailed medical history and nutrition habits.

Patient Registration Form Templates