SCREENING APP

COVID-19 Screening App

Whether you work for a large healthcare organization or a small business, the Jotform Health app can speed up your coronavirus screenings! Securely collect employee or patient symptom lists, e-signatures, file uploads, and more!

COVID-19 Screening Form Templates

From employee health screening checklists to health declaration forms, Jotform offers readymade form templates to help you detect and prevent coronavirus. Just use our drag-and-drop Form Builder to customize your health check-in form template in minutes.

Screening Form
Counselling Screening Declaration Form
ADC Screening Form
Screening Form
Counselling Screening Declaration Form
ADC Screening Form

DATA COLLECTION

Safe and Secure Data Collection

Jotform’s COVID-19 screening app for employers and healthcare providers keeps protected health information (PHI) safe with HIPAA compliance and a signed Business Associate Agreement (BAA) for Gold users. Form data is also protected with GDPR compliance, CCPA compliance, and other advanced security measures.

Safe and Secure Data Collection

DRAG-AND-DROP

Easy Customization & Sharing

Create the perfect screening form for your organization without doing any coding. Jotform’s drag-and-drop Form Builder makes it simple to customize a template or build your form from scratch. Add form fields and widgets, integrate with your favorite apps, upload your logo, and more! Then embed the form in your website, assign it to teammates, send email invitations, or share the form link to get responses.

Easy Customization & Sharing

JOTFORM HEALTH APP

HIPAA-Friendly Mobile App for Healthcare Services

Collect patient data and payments, manage appointments, and streamline your clinical workflow from any mobile device.

HIPAA-Friendly Mobile Forms HIPAA-Friendly Mobile Forms

QR CODE

Touchless Kiosk Mode

Speed up the way people fill out your health check-in form by setting up kiosk mode on your organization’s tablet or computer. Your form will refresh after each submission, so multiple people can fill it out. And with touchless kiosk mode, you can share your form via a QR code so respondents can fill it out from the safety of their own mobile devices!

Touchless Kiosk Mode

130+ LANGUAGES

Multi-Language Support

Set up translations in 130+ languages to let users fill out your screening form in their preferred language. By making your patient or employee health check-in form multilingual, you can create an easier form-filling experience for each and every user.

Multi-Language Support

JOTFORM SIGN

E-Signatures and File Uploads

Create e-sign documents and collect electronic signatures with Jotform Sign. Form users can easily sign your consent forms and upload files such as documents, photos, or videos from any device.

E-Signatures and File Uploads

FORM CALCULATION

Conditional Logic

Make your smart forms smarter with conditional logic, which hides or reveals form fields based on how users answer the questions. Conditional logic creates a personalized form-filling experience, increasing your response rate and ensuring you get the data you need.

Conditional Logic

100+ Form Integrations

Sync completed patient and employee health screening forms to 100+ popular platforms, eliminating manual data entry and speeding up your workflow. Popular integrations include Google Drive, Dropbox, Box, and many more.

Jotform Health App

Manage your medical practice from your pocket with the Jotform Health App. Our HIPAA-friendly mobile app for healthcare workers makes it easy to manage medical forms from any device. Collect patient data, accept bill payments, get signed consent forms, and schedule appointments online to improve the way you communicate with your patients.

Covid Health Screening