Medical Forms & Templates
Jump-start your form design with a professional JotForm medical form template. They are fully customizable and easy to edit!
HIPAA compliance is as low as $39/month
Healthcare Form Templates
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.
Massage Therapy Client Intake
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.
Psychiatric Evaluation Form
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!
Client Progress Notes - Revised
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.
Blood Donation Form
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.
Alternative Medicine-Patient Intake form
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.
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.
Healthcare PDF Templates
Trust, privacy, and security are the pillars that support every company in the Healthcare Industry. Each of these are carefully woven into their workflow and are intricate parts of the system they all live in. When you're in charge of someone else's healthcare needs, it's important to establish your company as a clean, trustworthy and professional business. A patient's well-being is not something anyone can afford to take a chance on. So, hospitals and medical practitioners go to great lengths to make sure that their patients will trust them.
That’s why the HIPAA compliance act was put in place – To ensure the privacy of the patients’ medical records. And you’re in luck with JotForm being one of the few companies in the online form building industry that is HIPAA-compliant. With our PDF Editor, anyone in the Healthcare Industry can create fillable PDF forms or generate PDF documents as an attachment to their Autoresponders. Instead of designing one from scratch, we offer a wide variety of PDF templates that you can use as an inspiration for your next design project.
These PDF templates can be used in many use case scenarios. For example, you need to hand out brochures about the health services you offer. Instead of handing out paper-based flyers and pamphlets, why not use something like an electronic brochure in PDF format? You can distribute these to your potential patients right after they fill out their information through an online registration form for new patients. Or, you can design a simple yet beautiful fillable PDF form that you can download and print as a paper-based form in case you need one for your hospital’s outpatient department.
Professional Medical Release
This Medical Consent PDF template includes knowledge belong to your clients such as their contact, work, spouse, policyholder, in case of an emergency contact information, the consent, and signature. In addition, you can create a Medical Consent PDF template with HIPAA Compliant.
Online Therapy Consent
This Online Therapy Consent contract sample is a perfect fit for you, if you want to check your patients' crucial data and record their data without any problem. By using this Online Therapy Consent PDF template, you can get online permission from your patients. Moreover, you can print out your consent PDF template for the patient's patient folder. You may collect personal information such as their name, birth date, and contact information. Also, you may inform your patients about their rights with respect to telemedicine with their signature. In addition, you do not have to worry about your data's safety, our forms have HIIPA Compliance.
It is a good practice to always crosscheck and make sure that everything is in order before discharging a patient. In order to ensure this, hospital management usually has a form which they fill and check in before discharging a patient. In our world today where people are using less of paper, this hospital discharge template is one PDF document you can use to save patient discharge information. The essence is that you can easily check the information saved in the PDF document to ensure a patient can be discharged. The hospital discharge letter template here can be modified to suit your taste.
A Pregnancy Verification document is used in hospital, maternity, and lying-in clinic settings. This is given to a woman who gets positive feedback on pregnancy tests. This document also serves as proof that a woman is pregnant which can be used for medical examination, filing a maternity leave, and claiming health insurance.This well-designed Pregnancy Verification Template contains information about the patient, pregnancy, and ob-gynecologist. The pregnancy details show the estimated date of conception, last menstrual period, estimated delivery date, age of gestation, and the number of fetuses. This template also specifies if the mother has a medical condition, illnesses, and allergies.
This medical invoice sample contains the medical institution, the name of the physician, the name of the patient, the medical services rendered, as well as the materials used. The costs incurred for each service and the materials are also included in this medical invoice sample. You can easily modify this template based on your own style or liking.
Client Progress Report
Client Progress Report for Psychotherapy PDF template provides the essential information that should contain in a clinical psychotherapy report such as the name of the patient, the type of session made with the patient, the date of the session, a comprehensive assessment, and treatment goals and objective for the patient/client.
Insurance is usually offered by organizations to their clients, customers such as passengers, or employees. It helps protect the company or an institution in cases of fortuitous events incurring liabilities. However, insurance companies usually do not allow double insurances or it causes more problems rathe