COVID-19 Report Forms

22 Templates

Negative COVID 19 Test Reporting Form

Receive submissions for COVID-19 test reports from your staff for your company or organization online. Use this Negative COVID-19 Test Reporting Form template and make your receiving process simple and manageable.

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Coronavirus Case Report Template

People can report suspected cases of COVID-19 in their workplace or community. Easy to customize, integrate, and share online. No coding required.

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Covid Contact Tracing Form Template

A COVID-19 contact tracing register is used by medical organizations to identify people who have come into contact with a person who is infected with COVID-19, to help prevent the disease from spreading.

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COVID 19 Test Result Reporting Form

Collect COVID-19 test results from employees, students, customers, and more. Accept file uploads. Free and easy to customize. Works on any device. No coding.

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COVID 19 Lab Report Form

Improve the workflow of your hospital or clinic by using this COVID-19 Lab Report Form wherein it can be filled out and submit it in real-time. This form is accessible on any device including tablets and mobile phones.

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Self Certification Of Vaccination Status

Collect COVID-19 vaccination status forms securely on any device. Ideal for employers meeting Santa Clara County requirements. Convert to official PDFs automatically.

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Covid 19 Acknowledgement

A Covid-19 Acknowledgement is used by medical professionals to acknowledge patients that have consented to the Covid-19 vaccine. This Covid-19 Acknowledgement form can be customized to fit your medical practice’s branding.

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Covid Testing Form

A Covid Testing Form is a form template designed to collect patient information and consent for Covid testing.

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Passenger Self Reporting Form

Passengers can report COVID-19 symptoms through this free online form. Great for travel agencies, airports, and airlines. Easy to customize. No coding.

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COVID 19 Testing Consent Form

A COVID-19 testing consent form is used by medical organizations to collect information from potential patients about their interest in the COVID-19 vaccine.

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COVID 19 Symptoms Self Report Form

A COVID-19 symptoms self-report form is a form used by medical offices to collect information from patients about their symptoms or complaints.

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Adverse Event Reporting Form

A vaccine adverse event reporting form is used to report serious side effects related to immunizations. It is used by vaccine recipients and doctors and will help identify potential vaccine side effects.

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Covid 19 Daily Status Update Form

A COVID-19 daily status update form is used by medical teams to collect information from patients in real-time about their COVID-19 vaccination status. no coding!

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COVID 19 Compliance Report Form

A COVID-19 compliance report form is used by healthcare facilities to provide information about compliance with the COVID-19 vaccine for patients. No coding!

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Student COVID 19 Self Certification And Verification Form

A daily symptom screening that must be conducted to each student every day prior to their entry to the school. Customizable with no coding.

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COVID 19 Helpline Report

A report form that collects the patient information, contact details, their compliment, suggested treatment prepared after the COVID-19 pandemic.

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COVID 19 Outbreak Reporting Form

Allow the facility to report their current status in terms of the number of COVID-19 patients by having them fill out this COVID-19 Outbreak Reporting Form. This form template contains all necessary information in determining if there's an outbreak in the facility or not.

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COVID 19 School Reporting Form

A COVID-19 school reporting form is used by school authorities to report on the status of the COVID-19 vaccine at their school. No coding is required!

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Covid 19 Tracing Form

A Covid-19 Tracing Form is used by employer and occupational health team to keep records of the employees' progress according symptoms.

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COVID 19 Intubation Checklist Form

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.

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COVID 19 Test Verification Form

The COVID-19 Test Verification Form allows organizations to verify COVID-19 test results efficiently, ensuring safety protocols are followed for access to workplaces and events.

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Pandemic Response Monitoring Form

The Pandemic Response Monitoring Form helps organizations assess their pandemic response by collecting data on operational adjustments, employee health, and safety measures.

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About COVID-19 Report Forms

COVID-19 Report Forms are specialized digital tools designed to collect, track, and manage information related to the COVID-19 pandemic. These forms are used by healthcare providers, organizations, schools, and government agencies to gather data on symptoms, exposure, test results, vaccination status, and incident reporting. They play a crucial role in monitoring outbreaks, ensuring workplace safety, facilitating contact tracing, and supporting public health initiatives. Use cases range from daily health screenings and employee self-assessments to patient intake, case investigation, and reporting of positive cases or exposures.

With Jotform, users can easily create and customize COVID-19 Report Forms to fit their specific needs, thanks to its intuitive drag-and-drop Form Builder and a wide selection of ready-to-use templates. Jotform’s no-code platform allows anyone to design forms, add conditional logic, integrate with payment gateways or other tools, and automate notifications without technical expertise. All submissions are securely stored and can be managed in Jotform Tables, making it simple to organize, analyze, and share critical COVID-19 data in real time. This streamlines the data collection process and helps organizations respond quickly and efficiently to evolving health situations.

Use Cases of COVID-19 Report Forms

COVID-19 Report Forms can be adapted for a variety of scenarios, each addressing unique challenges and user needs. Here’s how these forms are utilized, who uses them, and how their content may differ:

1. Possible Use Cases:

  • Daily health screening for employees, students, or visitors
  • COVID-19 test result submission and tracking
  • Vaccination status reporting
  • Incident and exposure reporting within organizations
  • Patient intake and symptom assessment in healthcare settings
  • Contact tracing and follow-up documentation

2. Problem Solving Points:

  • Streamlines the collection of health data for compliance and safety
  • Enables rapid identification of potential outbreaks or exposures
  • Facilitates communication and reporting to relevant authorities
  • Reduces manual paperwork and administrative burden

3. Possible Owners and Users:

  • Human resources and workplace safety officers
  • School administrators and teachers
  • Healthcare providers and clinics
  • Event organizers and facility managers
  • Public health officials

4. Differences of Creation Methods:

  • Health Screening Forms: Focus on daily symptom checklists, recent travel, and exposure questions.
  • Test Result Forms: Include fields for test type, date, result, and supporting documentation uploads.
  • Vaccination Status Forms: Request vaccine type, dose dates, and proof of vaccination.
  • Incident Reporting Forms: Capture details of exposure events, affected individuals, and follow-up actions.

Each use case may require different privacy settings, notification workflows, and data storage protocols.

In summary, COVID-19 Report Forms are versatile tools that can be tailored to meet the specific reporting and compliance needs of various organizations, ensuring efficient and secure data management during the pandemic.

How to Create a COVID-19 Report Form

Creating a COVID-19 Report Form with Jotform is a straightforward process that allows you to address a wide range of pandemic-related reporting needs. Whether you’re building a daily health screening form for your workplace, a test result submission form for a clinic, or a vaccination status tracker for a school, Jotform’s flexible platform makes it easy to design, customize, and deploy your form quickly.

To get started, follow these steps:

1. Choose Your Starting Point:

  • Log in to your Jotform account and click “Create” on your My Workspace page.
  • Select “Form” and decide whether to start from scratch or use one of Jotform’s COVID-19 form templates.
  • Pick a layout: Classic Form (all questions on one page) for quick overviews, or Card Form (one question per page) for guided, detailed responses.

2. Customize the Form for Your Use Case:

  • For health screenings, add fields for name, date, temperature, symptom checklist, recent travel, and exposure questions.
  • For test result submissions, include fields for test type, date, result, and file upload for supporting documents.
  • For vaccination status, request vaccine type, dose dates, and upload proof of vaccination.
  • For incident/exposure reporting, add sections for incident description, affected individuals, location, and follow-up actions.
  • Use conditional logic to show or hide fields based on previous answers (e.g., only show follow-up questions if symptoms are reported).

3. Enhance Functionality:

  • Integrate with email notifications to alert HR, health officials, or administrators of new submissions.
  • Set up autoresponder emails to confirm receipt to the person submitting the form.
  • Use widgets for e-signatures, file uploads, or progress bars as needed.

4. Design and Branding:

  • Click the Paint Roller icon to open the Form Designer.
  • Adjust colors, fonts, and add your organization’s logo to ensure the form matches your branding and looks professional.

5. Privacy and Compliance:

  • Enable encryption or HIPAA compliance features if handling sensitive health data.
  • Set permissions and access controls to ensure only authorized personnel can view submissions.

6. Publish and Share:

  • Click “Publish” and copy the form link to share via email, website, or QR code.
  • Embed the form on your intranet or public site as needed.

7. Test and Monitor:

  • Use the Preview feature to test the form’s functionality.
  • Monitor submissions in Jotform Tables, filter data, and export reports for compliance or analysis.

By following these steps, you can create a COVID-19 Report Form tailored to your organization’s needs, ensuring efficient data collection, secure storage, and timely response to pandemic-related events.

Frequently Asked Questions

1. What is a COVID-19 Report Form?

A COVID-19 Report Form is a digital tool used to collect and manage information related to COVID-19, such as symptoms, test results, vaccination status, and exposure incidents.

2. Why are COVID-19 Report Forms important?

They help organizations monitor health status, ensure safety compliance, facilitate contact tracing, and respond quickly to potential outbreaks.

3. What information is typically collected in a COVID-19 Report Form?

Common fields include personal details, symptom checklists, recent travel history, test results, vaccination records, and incident descriptions.

4. Are there different types of COVID-19 Report Forms?

Yes, forms can be tailored for health screenings, test result submissions, vaccination status, incident reporting, and more, depending on the organization’s needs.

5. Who should use COVID-19 Report Forms?

Employers, schools, healthcare providers, event organizers, and public health agencies can all benefit from using these forms to manage COVID-19-related data.

6. How is privacy maintained with COVID-19 Report Forms?

Sensitive health data should be protected with encryption, access controls, and compliance with regulations like HIPAA, especially when using digital platforms.

7. Can COVID-19 Report Forms be used for contact tracing?

Yes, these forms can collect information necessary for contact tracing, such as exposure details and close contacts, aiding public health efforts.

8. How often should COVID-19 Report Forms be updated or submitted?

Frequency depends on the use case—daily for health screenings, as needed for incident reporting, or upon receiving new test results or vaccination updates.